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What are neural tube defects (spina bifida)?

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Neural tube defects like spina bifida occur when the neural tube fails to close completely during embryonic development, leading to meningeal or neural tissue protrusion. Spina bifida can range from the mild form, spina bifida occulta, to the more severe myelomeningocele. Adequate maternal folate intake is critical for preventing these defects.

Step-by-step explanation:

Understanding Neural Tube Defects and Spina Bifida

Neural tube defects are serious birth defects related to the improper development of the neural tube during early embryonic life. One common neural tube defect is spina bifida, which occurs when the neural tube does not completely close, leading to the exposure of meninges and possibly neural tissue through gaps in the vertebral column. There are three main types of spina bifida: spina bifida occulta, meningocele, and myelomeningocele.

Types of Spina Bifida

Spina bifida occulta is the mildest form and may manifest with no functional differences as the spinal cord itself is typically not affected. This variant is often termed 'hidden' because its physical signs may not be obvious.

Meningocele involves the protrusion of the meninges through the spinal column creating a cyst, but does not usually affect the spinal nerves.

Myelomeningocele is the most severe form, where both meninges and spinal nerves protrude, leading to significant neurological symptoms.

Folate, a vital B vitamin, is essential for the healthy development of the neural tube. A lack of maternal folate intake during pregnancy is linked to increased risk of neural tube defects, including spina bifida, highlighting the importance of prenatal nutrition.

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