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The most common neural tube defects are anencephaly and myelomeningocele.
The condition is also of particular concern when the neural tube is completely open and the ependymal layer is exposed as a myelocele (or myeloschisis).
According to Menelaus, the myelomeningocele form of spina bifida cystica is the most significant and common type of spina bifida, accounting for 94% of cases.
(Spina bifida occulta is not included in this figure.) A child born with myelomeningocele requires specialty care and transfer to a center where neonatal surgery and closure can be performed.
Myelomeningocele, a form of spina bifida, is visible at birth (see the images below).
Patients with myelomeningocele present with a spectrum of impairments, but the primary functional deficits are lower limb paralysis and sensory loss, bladder and bowel dysfunction, and cognitive dysfunction.
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(See Treatment.) Participation in the care of patients with major, chronic physical disabilities requires commitment, coordination, and access to extensive clinical resources.