Spinal Dysraphism

dorsal dura may need a patch to obtain satisfactory closure without constriction of the intra-dural contents. Since the hemicords usually unite below the spur, a single, thickened filum terminale may be present. This should be sought and divided through a separate incision inferiorly, if necessary.

Two hemicords within a single dural tube (type II split cord malformations) generally do not require surgical exploration unless there is evidence of a thickened filum or of dorsal intradural fibrous bands (Fig. 27.4b). Pang, however, argues that all these malformations should be explored since, in all 18 of his reported cases, intradural tethering bands were found, even in their apparent absence on pre-operative investigations. This is clearly an area which awaits further clarification.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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