AKSHATHA P,SANTOSH KUMAR KAMALAKANNAN,ASHA ARUN,HARISH SUDARSANAN ,KUMUTHA
DOI: https://doi.org/Background: Cervical myelomeningocele is a rare form of spinal dysraphism, constituting only 1–5% of all neural tube defects. It presents unique challenges in neonatal management due to its association with hydrocephalus, Chiari malformation, and potential neurological deficits.
Case Presentation: We report a case of a male neonate born at 37 weeks via LSCS due to a non-reactive NST, diagnosed in antenatal period with cervical myelomeningocele, mother received antenatal counselling regarding the prognosis and need for neurosurgical intervention. MRI confirmed an open myelomeningocele through cervical spinal dysraphism with associated mild colpocephaly and syrinx of the cervical spine. The baby underwent surgical repair on day 6 of life under intraoperative neuro monitoring. Postoperatively, he required invasive ventilation for 16 hours, followed by weaning to room air by day 9. CSF culture revealed Acinetobacter baumannii, necessitating a 10-day course of intravenous Meropenem and a total of 21 days of oral Ciprofloxacin. At discharge on day 21, the baby was stable, feeding well, and gaining weight appropriately, with normal oxygen saturation and hearing assessments.
Conclusion: This case highlights the importance of early diagnosis, timely surgical intervention, and vigilant post-operative management in cervical myelomeningocele. Despite the complexity of the condition, successful outcomes can be achieved with a multidisciplinary approach, emphasizing infection control, respiratory support, and nutritional optimization. Regular follow-up is crucial to monitor neurological development and associated anomalies.
