Spina Bifida (“Open Back”): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate spina bifida:

Pathognomonic (evidencing a disease).

Possible accompanying symptoms of spina bifida aperta (open, visible form).

  • Walking problems
  • Paresis (paralysis) of the legs
  • Paraplegia
  • Bladder and rectal disorders
  • Hydrocephalus (hydrocephalus; pathological enlargement of the liquid-filled fluid spaces (cerebral ventricles) of the brain).
  • Neurogenic bladder (dysfunction of the urinary bladder due to a disorder in the nervous system).

Possible accompanying symptoms in spina bifida aperta – myelomeningocele.

  • Bladder and rectal disorders
  • Riding pants sensory deficits of the legs
  • Flaccid paresis (paralysis) of the legs
  • Flexion contractures in the hip joint (joint stiffness in flexion position).
  • X-legs (genu valgum)
  • Clubfoot (Pes equinovarus, formerly also called Pes varus).
  • Trophic disorders of the feet

Possible accompanying symptoms of spina bifida occulta (hidden, invisible form).

  • Back pain
  • Sphincter weakness (weakness of the sphincter muscles)
  • Enuresis nocturna (nocturnal enuresis)
  • Calf muscle atrophy (atrophy of the calf muscles).
  • Clubfoot
  • Skin changes over the defect – hypertrichosis (increased body and facial hair; without a male distribution pattern), telangiectasias (vascular veins), lipomas (fatty growths), pigmentation, skin retraction.