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Pädiatrische Neurochirurgie pp 175–187Cite as

Okkulte spinale Dysraphien

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Zusammenfassung

Okkulte spinale Dysraphien sind eine heterogene Gruppe von Missbildungen. Obwohl die meisten pränatal, bei Geburt oder in früher Kindheit diagnostiziert werden, bleiben dennoch einige bei älteren Kindern oder Erwachsenen unentdeckt und werden erst bei Auftreten von Symptomen wie Rückenschmerzen, neurologischen Ausfällen inkl. Paresen, Sensibilitätsstörungen, Spastik oder Blasen- und Mastdarmstörungen entdeckt. Je länger diese Ausfälle bestehen, desto größer ist die Gefahr, ein permanentes neurologisches, urologisches und/oder orthopädisches Handicap zu entwickeln. Deshalb ist wichtig zu wissen, auf welche Symptome und Merkmale geachtet werden muss, um rechtzeitig die Diagnose stellen zu können. Dieses Kapitel zeigt die häufigsten spinalen okkulten Dysraphien, die neueste Klassifikation, Symptome und erforderliche Diagnostik und Behandlungsoptionen inkl. deren Kontroverse.

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Authors and Affiliations

  1. Pädiatrische Neurochirurgie, Neurochirurgische Klinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, Heidelberg, 69120, Deutschland

    H. Bächli

  2. Abteilung Neuropädiatrie, Universitätskinderklinik beider Basel (UKBB), Im Kirschgarten 5, Binningen, 4102, Schweiz

    J. Lütschg

Authors
  1. H. Bächli
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  2. J. Lütschg
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Corresponding author

Correspondence to H. Bächli .

Editor information

Editors and Affiliations

  1. Sektionsleiterin Pädiatrische Neurochirurgie, Neurochirurgische Klinik Universitätsklinikum, Heidelberg, Germany

    Heidi Bächli

  2. Universitätskinderklinik beider Basel (UKBB), Binningen, Switzerland

    Jürg Lütschg

  3. Chefärztin der Abteilung Kinderneurochirurgie Asklepios Kinderklinik, Sankt Augustin, Germany

    Martina Messing-Jünger

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Bächli, H., Lütschg, J. (2018). Okkulte spinale Dysraphien. In: Bächli, H., Lütschg, J., Messing-Jünger, M. (eds) Pädiatrische Neurochirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48700-6_15

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  • DOI: https://doi.org/10.1007/978-3-662-48700-6_15

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48699-3

  • Online ISBN: 978-3-662-48700-6

  • eBook Packages: Medicine (German Language)

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