MRCP UK EXAMINATIONS

NEUROLOGY

SPASTIC PARAPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A type of spina bifida wherein both the meninges and spinal cord protrude through vertebral defect and is seen with Arnold-Chiari Type II.
A
Spina bifida occulta
B
b. Spina bifida with meningocele
C
Spina bifida with myeloschisis
D
Spina bifida with meningomyelocele
Explanation: 

Detailed explanation-1: -Myelomeningocele is a severe type of spina bifida in which the membranes and the spinal nerves protrude at birth, forming a sac on the baby’s back.

Detailed explanation-2: -Types of Spina Bifida Myelomeningocele is the most serious type of spina bifida. With this condition, a sac of fluid comes through an opening in the baby’s back. Part of the spinal cord and nerves are in this sac and are damaged.

Detailed explanation-3: -Symptoms & Types There are 4 types of spina bifida: occulta, closed neural tube defects, meningocele, and myelomeningocele. Occulta is the mildest and most common form in which 1 or more vertebrae are malformed.

Detailed explanation-4: -Meningocele involves a defect of the posterior elements of the spine with extrusion of meninges and cerebrospinal fluid (CSF) without the involvement of the neural elements. Myelomeningocele involves extrusion of meninges, CSF, and functional neural elements such as nerve or spinal cord contents.

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