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July 1952

SPINA BIFIDA: Survey of Two Hundred Twenty-Five Encephaloceles, Meningoceles, and Myelomeningoceles

Author Affiliations

From the Division of Neurosurgery, Department of Surgery, University Hospitals.

AMA Am J Dis Child. 1952;84(1):35-51. doi:10.1001/archpedi.1952.02050010051006

CONGENITAL anomalies, formerly of chiefly academic interest, are now justifying increased attention. Every physician during his practice may encounter several patients whose conditions may be ameliorated or cured by judicious care or surgical intervention. Spina bifida, with its related neurologic anomalies, has been a source of perplexity for many years to the general practitioner, pediatrist, neurologist, and surgeon. Even when a case appears to be hopeless, however, a competent understanding of these lesions and their clinical manifestations permits the physician to answer intelligently the questions posed by anxious parents and to instruct them in treatment and prognosis. Ingraham's1 comprehensive bibliography sets forth more than 2,000 references on the subject, most of which consist of reports of one or a few cases. It is the purpose of this discussion to present a survey of 225 encephaloceles, meningoceles, and myelomeningoceles studied in the University Hospitals during the period from 1938 to