Uso de placa de polimetilmetacrilato (pmma) no tratamento de craniosquise associada à meningocele em uma bezerra girolando: relato de caso

Nayne Vieira da Silva; Diego José Zanzarini Delfiol; Mônica Horr; João Paulo Elsen Saut; Geison Morel Nogueira

doi:10.1590/1809-6891v24e-74519E

Authors

Nayne Vieira da Silva Universidade Federal de Uberlândia (UFU), Uberlândia, Minas Gerais, Brazil https://orcid.org/0000-0001-5888-0950
Diego José Zanzarini Delfiol Universidade Federal de Uberlândia (UFU), Uberlândia, Minas Gerais, Brazil https://orcid.org/0000-0003-3068-061X
Mônica Horr Universidade Federal de Uberlândia (UFU), Uberlândia, Minas Gerais, Brazil https://orcid.org/0000-0003-1332-2749
João Paulo Elsen Saut Universidade Federal de Uberlândia (UFU), Uberlândia, Minas Gerais, Brazil https://orcid.org/0000-0002-0860-5413
Geison Morel Nogueira Universidade Federal de Uberlândia (UFU), Uberlândia, Minas Gerais, Brazil https://orcid.org/0000-0002-0503-6294

DOI:

https://doi.org/10.1590/1809-6891v24e-74519E

Abstract

Abstract
Most genetic diseases affect purebred animals and are inherited as recessive genes. Cranioschisis refers to dysraphism, which occurs in the midline of the skull due to failure to close the cranial symphysis, which can lead to herniation of the meninges filled with cerebrospinal fluid (meningocele), where there is usually a projection of the meningeal tissue. Diagnosis is performed based on clinical examination, characteristic anatomopathological data, and complementary imaging tests. The surgical approach for correction of cranioschisis is the only described as a therapeutic solution and is indicated in cases in which the cranial synthesis defect does not allow for brain protrusion and there is only the occurrence of meningocele, in addition to the absence of severe signs of neurological alteration. This paper reports a case of the use of polymethylmethacrylate (PMMA) plaque to treat cranioschisis associated with meningocele in a Girolando heifer. The surgical opening of the frontonasal sacculation allowed draining a total liquid content of 488 mL, inspection, and suture of the envelope membrane. A PMMA plaque, molded to the bone surface and anchored in the adjacent soft tissue, was used to cover the evidenced frontonasal bone opening. Despite the unfavorable prognosis of the disease, the cranioplasty surgery for the treatment of cranioschisis associated with meningocele using PMMA plaque obtained satisfactory results relative to the quality and maintenance of this animal’s life, evaluated at 19 months postoperatively.
Keywords: bone cement; birth defect; malformation; ruminants.

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