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Article Details
Clinical Image
Volume 3, Issue 10 (October Issue)

Spina Bifida in a Neonate Due to Fenugreek Ingestion

Salahiddine Saghir1*, ILhame El Kilali2, Anass Ayad1, Rachid Abilkassem1 and Aomar Agadr1

1Department of Pediatrics, Military Hospital Mohamed V of Rabat, Morocco

2Department of Pediatrics, Children’s Hospital of Rabat, Morocco

*Corresponding author: Salahiddine Saghir, Department of Pediatrics, Military Hospital Mohamed V of Rabat, Morocco. E-mail: S.salahiddine@gmail.com

Received: November 07, 2021; Accepted: November 16, 2021; Published: December 03, 2021

Citation: Saghir S, El Kilali I, Ayad A, et al. Spina Bifida in a Neonate Due to Fenugreek Ingestion. Clin Image Case Rep J. 2021; 3(10): 192.

Abstract

Myelomeningocele (spina bifida) is the most common neural tube defect. It is characterized by a cleft in the vertebral column, with a corresponding defect in the skin.

We report a clinical observation of a female newborn baby admitted for management of a respiratory distress and congenital abnormality of the lumbar area; No Ultrasound was done before the delivery.

The clinical examination of the newborn has shown macrocephaly (HC: 41cm), a defective lesion in the lumbar region (Figure 1), flaccid paralysis of the lower extremities, sensivity deficit and absence of reflexes. Other systemic examinations were normal.

Cranial ultrasound has shown a hydrocephalus with dilated ventricles (Figure 2), The MRI confirmed the previous findings of hydrocephalus with Arnold-Chiari malformation and lumbar myelomeningocele. The patient was addressed to Neurosurgical Intensive Care Unit for a surgical management.

The assessment of risk factors in the mother showed absence of folic acid supplementation, with daily ingestion of fenugreek during the pregnancy. Fenugreek is an herbal medicine, often used in the Mediterranean area to stimulate appetite in pregnant women and facilitate childbirth and the milky rise. Unfortunately, it is also associated with a high risk of occurrence of neural tube defects [1].

The strategy of the prevention of neural tube defects should be established especially in pregnancies of a high risk of recurrence of neural tube abnormalities by the eviction of fenugreek consumption and folic acid supplementation during pregnancy.

Keywords: Myelomeningocele; Spina bifida; Fenugreek