15/08/2025
Myelomeningocele (Spina Bifida)
What is it?
Myelomeningocele is a birth defect where part of the spine and spinal cord don’t close properly in early pregnancy. This leaves nerves exposed in a sac on the baby’s back, which can cause weakness, bladder/bowel problems, and sometimes fluid build-up in the brain (hydrocephalus).
Why does it happen?
It occurs when the neural tube (which becomes the brain and spinal cord) doesn’t fully close in the first month of pregnancy.
Common Signs
• Sac on the back at birth
• Weakness/paralysis in the legs
• Bladder or bowel control problems
• Possible foot, hip, or spine deformities
• Hydrocephalus (in many babies)
Treatment & Care
Care involves a team approach:
• Surgery – Close the opening soon after birth (sometimes before birth in special centres).
• Urology – Regular bladder checks; catheterisation and medicines may be needed.
• Physiotherapy – Maintain strength, mobility, and prevent deformities; braces or walking aids may help.
• Hydrocephalus management – May need a shunt or endoscopic surgery.
Living with Myelomeningocele
With prompt surgery, good bladder/kidney care, and regular physio, many children grow up to attend school, work, and live active lives. Some walk independently, others use wheelchairs. Lifelong follow-up helps protect health and independence.
🏥 CNS: Centre for Neuro-Oncologic & Spine Surgery
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Let’s talk. We’re here for you. Reach us at info@cns.co.bw or WhatsApp at 73194239
