Spina Bifida

Also Know As Rachischisis, Dysraphism

Sign/Symptoms
Brain or Intracranial Pressure Increase Meningocele: Fluid-Filled Sac Visible at Back Mental Retardation Mind: Developmental Delay Mind: Mental Slowness Pain Leg Paralysis General Paralysis of Legs (Paraplegia) Pregnancy: Noninduced Foetal Death Before 20th Week Skin Tingling Or Numbness (Paresthesias) Spinal Cord: Incomplete Development Spine Curvature (Scoliosis) Urinary Incontinence

Drugs

Our Records are Incomplete for Drugs

Treatments
Vitamins Folic Acid Strongly in Favour High Evidence

Attributes
Commonality is rare

Further Tests
Alpha-Fetoprotein (AFP, Amniotic Fluid Following Amniocentesis) Alpha-Fetoprotein (Amniotic Fluid, Following Amniocentesis at 12 to 16 Weeks) (Increased) Alpha-Fetoprotein (AFP, Serum AFP, Blood) Alpha-Fetoprotein (Maternal Serum, Pregnancy 15-18 Weeks) (Increased) Fetal Nuchal Translucency (FNT on Ultrasound) Fetal Nuchal Thickness on Ultrasound (Pregnancy Weeks 10 to 14) (Increased)

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Folic Acid [1, 2, 3, 4]:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.

Recommendation: Strongly Recommended (Evidence clearly shows that women taking folic acid supplements during pregnancy can greatly reduce the risk of spina bifida occuring in their babies)

Grade of Evidence: high quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:

1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009

2. http://www.nlm.nih.gov/medlineplus/ency/article/002092.htm

3. http://www.nlm.nih.gov/medlineplus/folicacid.html

4. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/folic-acid

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