Skip to main content

Advertisement

SpringerLink
Log in

Pregnancy and delivery after myelomeningocele repair, ventriculoperitoneal shunt implantation, and augmentation cystoplasty

  • Case Report
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Introduction

Management of pregnancy and delivery of a patient with a history of myelomeningocele requires a multidisciplinary team approach.

Case report

We report a case of pregnancy and delivery by a patient who had a history of myelomeningocele surgical repair, ventriculoperitoneal (VP) shunt, and bladder augmentation enterocystoplasty. Regarding types of delivery style, anesthesiologists recommended a Cesarean section under general anesthesia. However, urologists recommended a vaginal delivery because they were concerned that she would require a nephrostomy because of severe adhesion between her uterus and the neobladder if she had a Cesarean section.

Discussion

In a pregnant myelomeningocele patient with a VP shunt, neurosurgeons are expected to manage the VP shunt during pregnancy and delivery. The possible types of delivery style and the best options based on the neurological deficit should be discussed together with a medical team.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Fletcher H, Crandon IW, Webster D (2007) Maternal hydrocephalus in pregnancy and delivery: a report of two cases. West Indian Med J 56:558–559

    CAS  PubMed  Google Scholar 

  2. Liakos AM, Bradley NK, Magram G, Muszynski C (2000) Hydrocephalus and the reproductive health of women: the medical implications of maternal shunt dependency in 70 women and 138 pregnancies. Neurol Res 22:69–88

    Article  CAS  PubMed  Google Scholar 

  3. Quenneville V, Beurton D, Thomas L, Fontaine E (2003) Pregnancy and vaginal delivery after augmentation cystoplasty. BJU Int 91:893–894

    Article  CAS  PubMed  Google Scholar 

  4. Hill DE, Kramer SA (1990) Management of pregnancy after augmentation cystoplasty. J Urol 144:457–459 discussion 460

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-cho, Kita-ku, Okayama-Shi, Okayama, 700-8558, Japan

    Masahiro Kameda & Isao Date

  2. Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-cho, Kita-ku, Okayama-Shi, Okayama, 700-8558, Japan

    Etsuko Takahara

  3. Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-cho, Kita-ku, Okayama-Shi, Okayama, 700-8558, Japan

    Motomu Kobayashi

  4. Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-cho, Kita-ku, Okayama-Shi, Okayama, 700-8558, Japan

    Katsumi Sasaki

  5. Department of Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-cho, Kita-ku, Okayama-Shi, Okayama, 700-8558, Japan

    Ryuta Morihara

Authors
  1. Masahiro Kameda
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Etsuko Takahara
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Motomu Kobayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Katsumi Sasaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ryuta Morihara
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Isao Date
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Masahiro Kameda.

Ethics declarations

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kameda, M., Takahara, E., Kobayashi, M. et al. Pregnancy and delivery after myelomeningocele repair, ventriculoperitoneal shunt implantation, and augmentation cystoplasty. Childs Nerv Syst 33, 1015–1017 (2017). https://doi.org/10.1007/s00381-017-3364-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-017-3364-7

Keywords

Search

Navigation