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Spina Bifida Occulta
There is no protrusion of the meninges but the vertebrae are bifid. There are three components of the spina bifida occulta.
a) Vertebral-there is defective fusion of the vertebral arches
b) Cutaneous-presence of overlying skin lesions viz tuft of hairs, lipoma and dermal sinus
c) Neural-there is an intraspinal lesion viz intrameduary lipoma, dermoid cyst which produces neurologic deficit.
A 62 year old white male develops pitting edema of both feet. Put on Lasix and metoprolol. Develops hallucinations and confusion. Tapered off. Dies 3 weeks later of lymphatic o
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