Spina bifida is a neural tube defect with average incidence of 1-2 cases per 1000 population with female to male ratio of 1.2:1.These defects occur as a result to a teratogenic process that causes failed closure and abnormal differentiation of the embryonic neural tube. The major neural tube defects include spina bifida occulta, meningocele, myelomeningocele, encephalocele, anencephaly, dermal sinus. We report a case of a one-day-old female neonate who was delivered at term gestation and presented with respiratory distress and congenital anomaly. Local and systemic examination was thoroughly done and a clinical diagnosis of myelomeningocele, a severe form of spina bifida was made.
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