Seventy-two posterior psoas transfer operations performed in forty-four children with lumbar myelomeningocele were reviewed one to eight years after operation in an attempt to assess its value. Muscle charting, an objective recording of the child's walking ability, and radiographic examination of the hips were done. Hip stability was improved: 49 per cent were stable at the time of psoas transf...

Increasing experience and the introduction of new techniques in the treatment of congenital hydrocephalus demand its earliest possible recognition and knowledge of its natural history. By far the commonest type of congenital hydrocephalus is the one associated with a meningomyelocele or encephalocele. The presence of hydrocephalus in such infants should be suspected at birth, simply because the...

Appearance of secondary sexual characteristics before 9 years of age in boys constitutes precocious puberty(l). There are three major types of sexual precocity: true or central, peripheral and combined peripheral and central. Precocious puberty may be isosexual or heterosexual in nature. In this communication we report a case of meningomyelocele who developed isosexual precocious puberty second...

Ventriculitis from infection with Acinetobacter calcoaceticus variant anitratus occurred in an infant two weeks after surgical repair of a lumbosacral meningomyelocele and ventriculoperitoneal shunting. Recovery took place on replacing the shunt with an extraventricular deviation device and giving gentamicin and ampicillin intravenously.

Prune Belly Syndrome (PBS) comprises a triad of abdominal wall deficiency, urogenital abnormalities and cryptorchidism. Neurologic abnormalities are unusual in prune belly syndrome. Here, we report a rare association of meningomyelocele with prune belly syndrome and provide an embryologic perspective to this concurrence.