Spina bifida represents a spectrum of conditions of disordered development of the spine and spinal cord. In its most severe form -open myelomeningocele - the neurological deficits can be profound, with implications for repeated and lifelong management, although, with the concerted effort of a mul-tidisciplinary team, the outlook for quality of life may be good. The incidence of this condition is declining and may be reduced further with the introduction of periconceptual folic acid supplements.
Less obvious forms of spina bifida occur and may not be immediately apparent at birth - occult spinal dysraphism - although there may be cutaneous manifestations of the underlying condition. The concept of "tethering" of the spinal cord by a dysraphic condition has proved useful in the understanding of the generation of symptoms and in the rationale for treatment of these disorders.
Was this article helpful?
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.