April 1985

Seizures in Children With Meningomyelocele

Author Affiliations

From the Center for Genetic Counseling and Birth Defect Evaluation (Dr Bartoshesky and Ms Wojick) and the Departments of Pediatrics (Dr Bartoshesky) and Neurosurgery (Dr Scott), New England Medical Center Inc, Tufts University School of Medicine, Boston; and the Department of Pediatrics, East Carolina University School of Medicine, Greenville, NC (Dr Haller). Dr Haller is currently with the Department of Psychiatry and Neurology, Tulane University School of Medicine, New Orleans.

Am J Dis Child. 1985;139(4):400-402. doi:10.1001/archpedi.1985.02140060082035

• The charts of 111 children with meningomyelocele were reviewed. Ninety-eight had shunted hydrocephalus. Twenty-five of 111 children (24 of 98 children with shunts) had seizures. Age at onset and type of seizure varied. Brain malformation (other than Arnold-Chiari), shunt infection, and perhaps number of shunt revisions were important risk factors in seizure development. The children with seizures were more likely to be developmentally delayed.

(AJDC 1985;139:400-402)