Background: Concurrent myelomeningocele in twins is a rare clinical presentation, only reported twice Nigeria. Case Description: We present set of identical female from Both were females that presented at 3 years with low back swelling since birth, associated bisphincteric dysfunction but normal motor and sensory functions the lower extremities. They had repair 2 months after presentation there...

BACKGROUND/PURPOSE The rationale for in utero repair of myelomeningocele has been supported experimentally by the observation of preserved neural function after prenatal closure of surgically created defects compared with nonrepaired controls. The mechanism of injury to the exposed neural elements is unknown. Postulated mechanisms include trauma to the herniated neural elements or progressive i...

Dermoid cysts are rare lesions, particularly in children. Chiari II malformations are seen in patients with myelomeningocele. Here, we present a child with Chiari II malformation who, during a Chiari II decompression, was found to have a dermoid cyst. To the best of our knowledge, this is the first such case ever reported.

We report five examples of physeal widening in four children with myelomeningocele. In all cases there was rapid clinical resolution with the use of the patients' normal orthoses and minor limitation of activity, and there was no evidence of early epiphyseal closure or growth disturbance. We suggest that recognition of the pathological process before fracture occurred may explain the rapid retu...

Figure 1. Sacral wound after debridement and prior to flap coverage, 15 × 12 cm 2 in size that tunneled superiorly. Potential right and left rotational flaps were designed on the basis of the gluteal arteries that were identified by Doppler ultrasonography. The dotted line marks the scar from the original MMC repair used for exploration of the pseu-domeningocele. MMC indicates myelomeningocele.

This case report describes a 4 year old boy with the unique triad of lipomatous myelomeningocele, congenital hypothyroidism secondary to thyroid agenesis, and sensorineural deafness. While associations between deafness and abnormal thyroid function and deafness and sacral lipoma have previously been described, the constellation of findings in this patient has not been reported.