Evidence map›Paper›PMID 40237726›Full record

ArticlePrenatal diagnosis2025

Outcome of Children With Prenatally Diagnosed Saccular Limited Dorsal Myeloschisis: The Importance of Accurate Diagnosis.

Anaïs Dugas, Lucie Guilbaud, Timothée de Saint-Denis, Pauline Lallemant-Dudek, Hina Simonnet, Saskia Vande Perre, Eléonore Blondiaux, Catherine Garel, Jean-Marie Jouannic

Abstract read
In one paragraph

Article in Prenatal diagnosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Prenatal findings and postnatal outcomes in cases of closed spinal dysraphism: 10-year two-center cohort study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Anaïs DugasDepartment of Fetal Medicine, DMU ORIGYNE, Trousseau Hospital, AP-HP, Sorbonne University, Paris, France.
Lucie GuilbaudDepartment of Fetal Medicine, DMU ORIGYNE, Trousseau Hospital, AP-HP, Sorbonne University, Paris, France.ORCID 0000-0003-4695-9519
Timothée de Saint-DenisEuropean Reference Network ITHACA-Working Group "Spina Bifida and Other Dysraphisms", France.
Pauline Lallemant-DudekTrousseau Hospital, AP-HP, National Reference Center for Rare Disease: Vertebral and Spinal Cord Anomalies (Spin@ Center), Paris, France.
Hina SimonnetTrousseau Hospital, AP-HP, National Reference Center for Rare Disease: Vertebral and Spinal Cord Anomalies (Spin@ Center), Paris, France.
Saskia Vande PerreTrousseau Hospital, AP-HP, National Reference Center for Rare Disease: Vertebral and Spinal Cord Anomalies (Spin@ Center), Paris, France.
Eléonore BlondiauxTrousseau Hospital, AP-HP, National Reference Center for Rare Disease: Vertebral and Spinal Cord Anomalies (Spin@ Center), Paris, France.
Catherine GarelTrousseau Hospital, AP-HP, National Reference Center for Rare Disease: Vertebral and Spinal Cord Anomalies (Spin@ Center), Paris, France.
Jean-Marie JouannicDepartment of Fetal Medicine, DMU ORIGYNE, Trousseau Hospital, AP-HP, Sorbonne University, Paris, France.ORCID 0000-0002-7890-3790

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe outcomes at 36 months of age in children with prenatally diagnosed Limited Dorsal Myeloschisis (LDM) and compared to Myelomeningocele (MMC).

methodThis was a retrospective study of all successive patients with postnatal confirmation of a prenatal diagnosis of isolated LDM who were referred to a French National Reference center from 2014 to 2023 compared with MMC cases. Postnatal evaluation at 36 months of both dysraphisms comprised standardized multidisciplinary evaluations.

resultsOf the 245 fetuses referred with suspected MMC, 19 were prenatally diagnosed with LDM. Nine children reached 36 (± 4) months of age. All were walking. Two required clean intermittent catheterization (CIC) and three required laxatives. Sphincter functions seem to be more dysfunctional in the case of sacral LDM. None were reported to have a ventricular shunt nor having neurodevelopment impairment. The LDM children differed from the MMC children in all functions with significantly more asymptomatic children in the LDM group (LDM: 5/9 vs. MMC: 0/12, p < 0.01), better motor (independent walking; LDM: 7/9 vs. MMC: 2/12; p < 0.01), urinary (need for CIC; LDM: 2/9 vs. MMC: 10/12; p < 0.01) and cognitive (neurodevelopmental impairment; LDM: 0/9 vs. MMC: 4/12, p = 0.10) functions.

conclusionLDM show better motor, urinary, and cognitive functions than MMC.

Indexed as

MeningomyeloceleSpinal DysraphismChild, PreschoolFemaleHumansInfantMalePregnancyPrenatal DiagnosisRetrospective StudiesUltrasonography, Prenatalclosed dysraphismfetal surgerylimited dorsal myeloschisismyelomeningoceleopen dysraphismpediatric outcomesspina bifida

Identifiers

PMID40237726
PMCPMC12054388

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.