Myelomeningocele versus myeloschisis: comparison of brain development and need for CSF diversion

Patients with myeloschisis have an increased need for CSF diversion after both prenatal and postnatal repair compared to those with MMC, which may be a consequence of increased rates of hindbrain herniation. The timing of CSF diversion after prenatal repair occurs later in patients with myeloschisis, which may be a consequence of lower rates of medullary compression. These findings suggest that there may be differences in pathophysiology between lesion types and may help with patient counseling.

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Publication Details

Journal
Journal of Neurosurgery Pediatrics
Published
2026-03-13
DOI
https://doi.org/10.3171/2025.10.peds25173
Primary Topic
Spinal Dysraphism and Malformations
Type
article
Field-Weighted Citation Impact
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article

Myelomeningocele versus myeloschisis: comparison of brain development and need for CSF diversion

Katherine H. Bligard, Sasidhar Karuparti, Jesse D. Vrecenak, Ali Mian et al.
Journal of Neurosurgery Pediatrics
Spinal Dysraphism and Malformations
article

Myelomeningocele versus myeloschisis: comparison of brain development and need for CSF diversion

Katherine H. Bligard, Sasidhar Karuparti, Jesse D. Vrecenak, Ali Mian, Francisco Narro Garcia, Lindsay Peglar Marsala, Ashlynn Lizer, Sarah Smith, Jennifer M. Strahle, Jagruti Anadkat
article en

Abstract

Patients with myeloschisis have an increased need for CSF diversion after both prenatal and postnatal repair compared to those with MMC, which may be a consequence of increased rates of hindbrain herniation. The timing of CSF diversion after prenatal repair occurs later in patients with myeloschisis, which may be a consequence of lower rates of medullary compression. These findings suggest that there may be differences in pathophysiology between lesion types and may help with patient counseling.

Journal of Neurosurgery Pediatrics
Washington University in St. Louis (US), Mallinckrodt (United States) (US), University of Missouri (US)
Openalex Percentile: Top 28%
Spinal Dysraphism and Malformations
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