Childhood Diseases

Posted by: Yuri | 2012-04-25


Spina bifida

A reason incidental x-ray picked up that my 5 year old daughter has spina bifida in T5. She has achieved all her milestones etc and other than the lst 6 weeks or so wetting her bed at night, she has had no other symptoms. Our doctor is now recommending an mri. I am just wondering whether this is absolutely necessary as she needs full anaesthetic for mri. The doctor also mentioned that she is a bit constipated and that this could possbily be causing the bedwetting. She has been given meds for constipation and the bewetting is no longer happening.

Expert's Reply



I am sure that you have already read up on spina bifida and know that this is a gap in the vertebra. In your daughter's case it is a single affected vertebra, L5 only.It is unlikely to be T5, is this a missprint?She probably has the 'hidden' form of spina bifida known as 'spina bifida occulta'. In children with this kind of spina bifida there are usually no symptoms at all and the diagnosis is usually only made by chance.Of concern is that your daughter has recently started wetting her bed again but this is probably just incidental and is not related to her spina bifida.Her urine should be tested to exclude any possible infection.It would be best to ask a paediatric nephrologist [kidney expert] to see your daughter and to decide if any further tests are required.

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