PEDIATRIC CASE STUDY2
Question 3
Meningocele is different from Myelomeningocele with respect to symptoms and
deformities observed after the baby is born. An infant born with meningocele is found to possess
a sac filled with fluid present at open spinal gap. Myelomeningocele on the other hand is
considered to be one of the most severe forms of neural tube defects and is known commonly as
open spina bifida since the baby is born with an exposed or protruding spinal nerves, tissues,
meninges and spinal cord. Lack of mitigation of the same can result in adverse consequences like
hydrocephalus, impaired bladder control, latex allergy and tethering of the spinal cord (Peranteau
& Adzick, 2016).
Question 4
 Statement B: Such a statement in incorrect since lack of surgical repair of
myelomeningocele is likely to pave the way for complications in the affected baby such
as hydrocephalus, impaired bladder control, latex allergy and tethering of the spinal cord
which in turn can impair the baby’s ability to move or engage in physical activity
(Johnson et al., 2016).
 Statement D: Due to the spinal opening as well as wound due to surgical repair, there is
a need to maintain stringent standards of hygiene. Thus, in addition to simply maintaining
basic standards of hand hygiene, there is a need to frequently replace the surgical repair
area of the spinal opening with fresh and sterilized dressings. Additionally, spina bifida
has been evidenced to increase the risk of blister, burn, sore and callus development in
the lower extremities of the body. Thus parents must engage in frequent skin checks for
such injuries and also maintain strict hygiene standards to prevent any infections in
wound or skin areas (Heuer, Moldenhauer & Adzick, 2017).

Pediatric Case Study : Myelomeningocele

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