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reduce the progression of longterm disability. Considerations for patients and their families ? The diagnosis of spina bifida may be devastating for the parents of these children. The neurosurgeon’s role not only includes operative management but also education. ? Children born with a myelomeningocele have a 90% chance of survival.. 其他問題 ? 80% chance of normal intelligence ? around an 85% chance of walking with or without assistance. ? Longterm problems include: short stature, lack of leg development, scoliosis, bowel and bladder difficulties 復(fù)健的處理及預(yù)後 脊髓性肌肉萎縮癥 (spinal muscle atrophy,SMA) ? 此為幼兒最常見肌肉神經(jīng)病變 ? 前角細(xì)胞及部分腦神經(jīng)運(yùn)動(dòng)核退化導(dǎo)致肌肉萎縮 體染色體隱性遺傳 . ? 四肢無力像青蛙 ? 呼吸困難 小兒麻痺癥 ? 小兒麻痺病毒感染前角細(xì)胞及延腦細(xì)胞導(dǎo)致所支配的肌肉麻痺 ? 現(xiàn)在已經(jīng)很少見但須注意小兒麻痺後期癥候群 (post polio syndrome) 臂神經(jīng)叢受損 (Brachial Plexus Injury,BPI) 醫(yī)療處理 ? 神經(jīng)接合手術(shù) ? 復(fù)健處理 肌力訓(xùn)練 電刺激