Abstract
Meningomyelocele/encephalocele with associated ventriculomegaly can be treated as a single-stage procedure (i.e., both lesions treated simultaneous) or as two-stage procedures (i.e., each lesion treated at a separate time). A delay in closure of the meningomyelocele/encephalocele is associated with a higher incidence of ventriculitis/ventricular shunt infectionparticularly when closure is performed more than 36 h after birth. In these situations, closure followed by surveillance cultures, appropriate antibiotics, ventricular drainage, and then delayed ventricular shunting seems more reasonable.
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Gamache, F.W. Treatment of hydrocephalus in patients with meningomyelocele or encephalocele: a recent series. Child's Nerv Syst 11, 487–488 (1995). https://doi.org/10.1007/BF00334972
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DOI: https://doi.org/10.1007/BF00334972