eMedicine Specialties > Neurology > Pediatric Neurology
Neural Tube Defects: Differential Diagnoses & Workup
Updated: Dec 15, 2008
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
| Neonatal Meningitis | Staphylococcal Meningitis |
| Spinal Cord Hemorrhage | Syringomyelia |
| Spinal Cord Infarction | Tuberculous Meningitis |
| Spinal Epidural Abscess | Viral Meningitis |
Other Problems to Be Considered
Cervical disk syndromes
Lumbosacral disk syndromes
Lumbosacral spondylosis
Workup
Imaging Studies
- MRI is the study of choice for imaging neural tissue and for identifying contents of the defect in the newborn. This is not routinely performed in the neonate unless unusual deficits not associated with the open defect are present. This allows for visualization of associated anomalies, both intraspinal and intracranial.
- CT scan allows direct visualization of the bony defect and anatomy. This study is also used to determine the presence or absence of hydrocephalus or other intracranial anomalies, although exposure of young children to radiation from CT studies should be considered.
- Ultrasonography is used antenatally for screening. Postnatally, its role has been limited because of advances in other imaging modalities. Quickly screening for hydrocephalus is also helpful.
Other Tests
- Urodynamics
More on Neural Tube Defects |
| Overview: Neural Tube Defects |
Differential Diagnoses & Workup: Neural Tube Defects |
| Treatment & Medication: Neural Tube Defects |
| Follow-up: Neural Tube Defects |
| Multimedia: Neural Tube Defects |
| References |
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References
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Tubbs RS, Wellons JC, Blount JP, et al. Transient ventriculoperitoneal shunt dysfunction in children with myelodysplasia and urinary bladder infection. Report of three cases. J Neurosurg. Mar 2005;102(2 Suppl):221-3. [Medline].
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Further Reading
Keywords
neural tube defect, NTD, anencephaly, encephalocele, meningocele, meningomyelocele, craniorachischisis totalis, congenital dermal sinus, spina bifida aperta, cystica, myelomeningocele, meningocele, myeloschisis, congenital dermal sinus, lipomatous malformations, lipomyelomeningoceles, split-cord malformations, diastematomyelia, diplomyelia, caudal agenesis, associated hydrocephalus, Chiari II malformation, neurulation
Differential Diagnoses & Workup: Neural Tube Defects