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Baby Noor's Surgery Went 'Very Well'

Iraqi Baby With Spina Bifida May Still Need More Surgery
By
WebMD Health News

Jan. 9, 2006 -- An operation for Baby Noor, a 3-month-old Iraqi baby with a rare and severe form of the birth defect spina bifida, went "very well," says the doctor who led the operation.

Roger Hudgins, MD, spoke about the operation at news conference. He's the chief of neurosurgery at Children's Healthcare of Atlanta, where the surgery was done.

Noor is "smiling and cooing," Hudgins said.

The operation was "difficult," as expected, according to Hudgins. He says Noor may need more surgery, will be paralyzed from the waist down, and will have problems with bladder and bowel control.

Complications of spina bifida can range from minor physical problems to severe physical and mental disabilities, according to the National Institute of Neurological Disorders and Stroke (NINDS). The severity of the complications depends on the location and the size of the birth defect as well as other factors. The higher the defect is located on the spine, the more nerves are involved and damaged.

Hopes for Mental Development

He voiced hope that Noor's mental development will be normal. "This is a special baby," Hudgins said, praising Noor's family, his colleagues who worked with him in Noor's care, and the U.S. soldiers who brought Noor to the U.S. for the lifesaving procedure.

The operation took about three hours, says Patty Turlington, a Children's Healthcare of Atlanta spokeswoman. Baby Noor was "resting comfortably with her family" after the surgery, Turlington says.

Noor was spotted by soldiers of the Georgia Army National Guard's 48th Brigade during a raid on a Baghdad home in early December. She was airlifted to Atlanta for lifesaving surgery, accompanied by family members.

How Spina Bifida Develops

During embryo development, special cells form a tube-like structure along what will be the back of embryo. This structure soon (in early pregnancy) develops into the brain and spinal cord of the embryo.

Spina bifida is a birth defect in which the spine or brain and their protective coverings develop incompletely. The nerves involved are often damaged and cannot be repaired; the function of the nerves at and below the defect cannot be restored.

Spina bifida is the most common type of neural tube birth defect. Noor has spina bifida aperta (myelomeningocele). That type of spina bifida generally involves a fluid-filled sac visible on the back. In most cases of myelomeningocele there is no layer of skin covering the sac and a section of spinal cord is exposed. Baby Noor survived for three months because she developed a leak-proof covering over the open area.

During Noor's operation, the skin was rolled up so that her spinal cord could be put back in place and closed up, which helps prevent infection and helps protect the exposed nerves and tissue from further damage. Then muscles and skin were sewn over the spinal cord.

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