Spina Bifida Flashcards
(36 cards)
In utero exposure to what 2 anticonvulsants can result in spina bifida
Valproic acid and carbamazepine
Most common type of spina bifida
Myelomeningocele
What nerve roots somatically innervate the bladder through the pudendal plexus?
S2-S5
At what level of spina bifida can children sit normally?
If L4-5 is spared
Most common level of spina bifida occulta
L5-S1
Which level of spina bifida leads to complete leg paralysis
T6-T12
What nerve roots parasympathetically innervate the bladder?
S2-S4
How is level of spina bifida lesion related to IQ?
The higher the lesion, the lower the IQ
Which level of spina bifida leads to pes cavus foot
S1-S2 or S3-S4
What procedure do children with hydrocephalus need?
Ventriculoperitoneal shunting
What weeks do you test for AFP?
13-15 weeks
What physical exam finding is used to prognosticate bowel continence in spina bifida?
Bulbocavernous or anocavernous reflex
Which level of spina bifida leads to hip and knee flexion contractures
T6-T12
Treatment of bilateral hip dislocation without restriction of joint mobility in spina bifida
Leave alone
Downward displacement of medulla and brainstem through the foramen magnum
Arnold-chiari malformation
Which level of spina bifida leads to equinus foot
T6-T12 or L1-L3
What nerve roots sympathetically innervate the bladder?
T10-L2
What weeks do you do an amniocentesis?
16-18 weeks
Which level of spina bifida leads to calcaneovarus foot with ankles dorsiflexed
L4-L5
Which level of spina bifida leads to knee extension contractures
L4-L5
Below what spinal level of spina bifida can children ambulate without device
At or below S1
When do children with spina bifida begin rolling? And what is normal?
Normal = rolling by 7 months
Spina bifida = 18 months
2 main types of spina bifida
Occulta and cystica
Which type of spina bifida may be associated with Arnold-chiari malformation
Myelomeningocele
