PMC5760242_01
Physical findings on admission. At birth, (
A
) the infant had a large skin defect with a myelomeningocele (the defect, 10 cm x 5 cm) on her back, and (
B
) she had no motor power in her lower extremities and had a right congenital talipes equinovarus deformity.
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The anterior fontanelle was bulged at birth, and a large skin defect and myelomeningocele (the defect, 10 cm x 5 cm) were present on her back ( Fig. 1A ). She had no motor power in her lower extremities and had a right congenital talipes equinovarus deformity ( Fig. 1B ).
Serum creatinine from birth until discharge. Serum creatinine value was 0.60 mg/dL at birth and reached a maximum value 1.05 mg/dL on day 2, and decreased afterward.
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Serum creatinine continued to be elevated until day 2 and spontaneously decreased afterward ( Fig. 2 ).
Magnetic resonance imaging (MRI) on admission. Brain and spinal MRI revealed T1-weighted sagittal (
A
) descent of the cerebellar tonsil and the structure of the posterior fossa into the spinal canal, and small post fossa, consistent with Chiari II malformation. Kyphosis was evident. T2-weighted sagittal (
B
) difficulty in identifying the spinal cord in the thoracolumbosacral region, and T2-weighted axial (
C
) and T1-weighted coronal (
D
) an aplastic right kidney.
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It was difficult to identify the spinal cord in the thoracolumbosacral region, and the right kidney was aplastic ( Figs. 3A and B ).