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In this chapter, the common pediatric conditions of Myelomeningocele and Hydrocephalus are reviewed. The pathophysiology of spina bifida is discussed in relation of both post-natal and fetal surgical management. The author covers the surgical interventions and the related complex anesthetic considerations for both the primary repair of myelomeningocele as well as for ventriculoperitoneal shunt placement. The presentation of patients with raised intracranial pressure in the setting of hydrocephalus is considered.
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