A Case of Meningocele
نویسنده
چکیده
raw surface 2i inches long and 2 inches broad in the lumbar region. This raw surface was concave in outline, with the spinal cord clearly visible lying spread out in the middle line. Palpation revealed a cleft in the vertebral arch, the result of non-closure of the primitive medullary groove. The edges of the wound presented the appearance of normal skin. One very significant fact was that no leakage was observed. The case was diagnosed as meningocele after careful consideration, and was confirmed as such radiographically later on. I am of the opinion that rupture of the sac took place during delivery, the fluid escaping along with the liquor amnii, but the child showed no signs of collapse and cried vigorously shortly after birth, and also passed urine and meconium. No throbbing was perceptible in the anterior fontanelle on the child crying, and by compressing the wound laterally no bulging was noticed. The bladder and rectum were not involved, but there
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