Myelomeningocoele in dizygotic twins.
BACKGROUND
Periconceptional use of folic acid can reduce a woman's risk of having a baby with a neural-tube defect and other congenital abnormalities.


METHODS
Case reports of babies OO both males, who were delivered at term by emergency caesarean section by a 21 year old woman. At birth, both twins had neural tube defects, bilateral talipes equinovarusdeformity, bladder and bowel dysfunction. Twin one in addition had hydrocephalus and a ventriculoseptal heart defect (VSD).


CONCLUSIONS
We advocate comprehensive neural tube defect (NTD) surveillance, a folic acidsupplementation program for high-risk women who have had a NTD-affectedpregnancy and a national folic acid education campaign for allwomen of reproductive age preconceptionally.
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Department of Paediatrics and Child Health, University of Port Harcourt Teaching Hospital, Port Harcourt. rossaire2003@yahoo.com
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D000328:Adult; D019587:Dietary Supplements; D004200:Diseases in Twins / Q000517:prevention & control; D005260:Female; D005492:Folic Acid / Q000008:administration & dosage; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008591:Meningomyelocele / Q000517:prevention & control; D011247:Pregnancy; D014429:Twins, Dizygotic
D005492:Folic Acid