Symptoms, Tests, Treatment, and Prevention:
-Along with the acutal spina bifida lesion,
several other problems can occur with the onset; this is called
occult spinal dysraphism (OSD).
-OSD can have multiple symptoms and afflictions
including: bowel and bladder dysfunction, tethered spinal cord,
some forms of muscle and limb impairment under the site the occulta,
and back pain.
-It is also known that a large portion of
those with spina bifida also possess a latex allergy; although,
it not known whether this is inherent or developed from large amount
of exposure to latex in surgeries and examinations..
-Spina bifida is extremley difficult to detect
before birth, and often fairly difficult to diagnose after birth,
hence a large number of spina bifida occulta cases are believed
to go unnoticed.
-Several options are availible for spina
bifida, depending on the severity: for severe malformation the pregnancy
can be terminated, corrective surgery can be employed immediately
following birth, to a limited extent intrauterine surgery is employed,
and expectant management of the spina bifida without correction
is also a viable option.
-General practice is to avoid treating spina
bifida occulta if there are no apparent detriments, if none exist
as a child generally none exist as an adult, either.
-Depending on the level of severity of OSD,
corrective surgery is performed to improve function.
-Standard prevention for spina bifida occultais
the same dietary and lifestyle suggestions as other NTDs, particularly
a presecribed amount of folic acid taken daily.