TY - JOUR
T1 - Pregnancy and delivery after myelomeningocele repair, ventriculoperitoneal shunt implantation, and augmentation cystoplasty
AU - Kameda, Masahiro
AU - Takahara, Etsuko
AU - Kobayashi, Motomu
AU - Sasaki, Katsumi
AU - Morihara, Ryuta
AU - Date, Isao
N1 - Publisher Copyright:
© 2017, Springer-Verlag Berlin Heidelberg.
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Introduction: Management of pregnancy and delivery of a patient with a history of myelomeningocele requires a multidisciplinary team approach. Case report: We report a case of pregnancy and delivery by a patient who had a history of myelomeningocele surgical repair, ventriculoperitoneal (VP) shunt, and bladder augmentation enterocystoplasty. Regarding types of delivery style, anesthesiologists recommended a Cesarean section under general anesthesia. However, urologists recommended a vaginal delivery because they were concerned that she would require a nephrostomy because of severe adhesion between her uterus and the neobladder if she had a Cesarean section. Discussion: In a pregnant myelomeningocele patient with a VP shunt, neurosurgeons are expected to manage the VP shunt during pregnancy and delivery. The possible types of delivery style and the best options based on the neurological deficit should be discussed together with a medical team.
AB - Introduction: Management of pregnancy and delivery of a patient with a history of myelomeningocele requires a multidisciplinary team approach. Case report: We report a case of pregnancy and delivery by a patient who had a history of myelomeningocele surgical repair, ventriculoperitoneal (VP) shunt, and bladder augmentation enterocystoplasty. Regarding types of delivery style, anesthesiologists recommended a Cesarean section under general anesthesia. However, urologists recommended a vaginal delivery because they were concerned that she would require a nephrostomy because of severe adhesion between her uterus and the neobladder if she had a Cesarean section. Discussion: In a pregnant myelomeningocele patient with a VP shunt, neurosurgeons are expected to manage the VP shunt during pregnancy and delivery. The possible types of delivery style and the best options based on the neurological deficit should be discussed together with a medical team.
KW - Augmentation cystoplasty
KW - Spina bifida
KW - Vaginal delivery
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U2 - 10.1007/s00381-017-3364-7
DO - 10.1007/s00381-017-3364-7
M3 - Article
C2 - 28247115
AN - SCOPUS:85014030479
SN - 0256-7040
VL - 33
SP - 1015
EP - 1017
JO - Child's Nervous System
JF - Child's Nervous System
IS - 6
ER -