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Child's Nervous System (2018) 34:1447–1448 https://doi.org/10.1007/s00381-018-3855-1 LETTER TO THE EDITOR 1 2 Malik Ali & P. Daniel McNeely Received: 17 April 2018 / Accepted: 27 May 2018 / Published online: 3 June 2018 Springer-Verlag GmbH Germany, part of Springer Nature 2018 Dear Editor: incontinence. Urodynamic studies were recommended, but After reviewing the literature and reading the article: the patient declined. On ultrasound, there was no significant BUnjoined primary and secondary neural tubes: junctional post void residual identified, there was no hydronephrosis, neural tube defect, a new form of spinal dysraphism caused and the kidneys were both normal. by disturbance of junctional neurulation^ by Eibach et al. [1], The concept of junctional neurulation was first described we believe to have encountered a clinical case of spinal by Dady et al. as an embryological phenomenon that occurs at dysraphism that would fit this description. With only five the end of primary neurulation and before secondary neurula- cases reported in the literature [1–3], we describe a sixth case tion: relating the two processes spatially and temporally [4]. of a male patient that had clinical follow-up but no neurosur- Eibach et al. further defined the clinical spinal dysraphism, gical intervention. that appears to
Child's Nervous System – Springer Journals
Published: Jun 3, 2018
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