# Unruptured Myelomeningocele Closure Surgery: A Case Report

## TL;DR

This case report details the challenges of performing unruptured myelomeningocele closure surgery in a newborn and highlights the need for a multidisciplinary approach.

## Contribution

The paper presents a unique case emphasizing the importance of collaboration among specialists during myelomeningocele surgery in newborns.

## Key findings

- Unruptured myelomeningocele closure in newborns requires meticulous preoperative preparation.
- A multidisciplinary team approach is crucial for successful outcomes in these surgeries.
- Early surgical intervention is vital for improving long-term outcomes in myelomeningocele patients.

## Abstract

Myelomeningocele (MMC) is an in-utero closure defect of the posterior portion of the neural tube, and it is the most common neural tube defect (NTD) compatible with life. It is usually associated with other congenital malformations, such as hydrocephalus and Chiari type 2 syndrome. Therefore, the long-term outcome depends on early repair, and the surgery is urgently scheduled. Newborns with MMC are a special population that requires meticulous preoperative preparation to maintain hemodynamic stability during the procedure and a favorable outcome. In this case report, we describe the challenges of unruptured myelomeningocele closure surgery in a newborn with 12 hours of life. This special case emphasizes the importance of a multidisciplinary approach between anesthesiologists, neurosurgeons, and plastic surgeons to provide the best care to this subset of patients.