TITLE:
Management of Two Cases of Spina Bifida and Neonatal Genital Prolapse at the University Hospital of Parakou and Review of the Literature
AUTHORS:
Kouassi Jean Marie Maurin Kisito Quenum, Ayaovi Armel Hadonou, Toyifia Eudoxie Bernice Quenum Hountondji, Sophonie Dokpe, Zachée Agbo, Matine Balagoun, Olatundji Holden Fatigba
KEYWORDS:
Spina Bifida, Genital Prolapse, Neonate, Complications, CHUD/BA
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.12 No.4,
October
20,
2022
ABSTRACT: Spina bifida, or spinal dysraphism, is a malformative pathology related
to an anomaly in the development of the
nervous system, occurring during embryogenesis. The neural tube does not
close properly around the 28th day of life and affects the development of the
spinal column and spinal cord. Spina bifida is characterised by damage to the
nervous system and will generate handicaps and damage of varying degrees: neurological
motor, sensory, cognitive, genito-phincter (bladder
and anorectal) deficits with consequences for the quality of life of these
people. The literature describes the association between spinal dysraphism and
genital prolapse. However, genital prolapse is an exceptional and rare entity
in newborns. We report the observations of two newborns: the first case of a
newborn born at term, at 7 days of age, who presented a prolapse of the uterine
cervix in association with myelomeningocele, without any neuromuscular
repercussions, and the second case of a newborn at 10 days of age, presenting
with a lumbosacral spina bifida and a uterine prolapse. They benefited from
conservative medical treatment characterised by manual reduction of the
prolapse in both cases with a favourable evolution. In the case of spina
bifida, a cure of myelomeningocele was performed surgically with simple
postoperative course.