<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2631-2581</journal-id>
<journal-title><![CDATA[Revista Ecuatoriana de Neurología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ecuat Neurol]]></abbrev-journal-title>
<issn>2631-2581</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Médica Ecuatoriana de Neurología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2631-25812021000100192</article-id>
<article-id pub-id-type="doi">10.46997/revecuatneurol30100192</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome Lumbocostovertebral Asociado A Mielomeningocele]]></article-title>
<article-title xml:lang="en"><![CDATA[Lumbo-Costovertebral Syndrome Associated With Myelomeningocele]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galarza-Armijos]]></surname>
<given-names><![CDATA[Monica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quizhpi-Lazo]]></surname>
<given-names><![CDATA[Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marcano-Sanz]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[Siavichai]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Endis-Miranda]]></surname>
<given-names><![CDATA[Miurkis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar-Castillo]]></surname>
<given-names><![CDATA[Jenner]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villacis-Sandoval]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Prado]]></surname>
<given-names><![CDATA[Esteban]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez]]></surname>
<given-names><![CDATA[León]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vascones-González]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Cuenca Cirugía General ]]></institution>
<addr-line><![CDATA[Cuenca ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Vicente Corral Moscoso Unidad de Cirugía Cardiotorácica Pediátrica ]]></institution>
<addr-line><![CDATA[Cuenca ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Vicente Corral Moscoso Unidad de Cirugía Hepatobiliar y Trasplante ]]></institution>
<addr-line><![CDATA[Cuenca ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Vicente Corral Moscoso Unidad de Neurocirugía ]]></institution>
<addr-line><![CDATA[Cuenca ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Vicente Corral Moscoso Genética Clínica ]]></institution>
<addr-line><![CDATA[Cuenca ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad de las Américas Grupo de investigación Onehealth Global Research Group ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>07</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>07</month>
<year>2021</year>
</pub-date>
<volume>30</volume>
<numero>1</numero>
<fpage>192</fpage>
<lpage>196</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_arttext&amp;pid=S2631-25812021000100192&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_abstract&amp;pid=S2631-25812021000100192&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_pdf&amp;pid=S2631-25812021000100192&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El síndrome lumbocostovertebral (SLCV) es una anomalía poco frecuente, que afecta a los cuerpos vertebrales, las costillas y músculos de la pared abdominal, que puede además estar asociada a múltiples anomalías congénitas, requiere un manejo multidisciplinario y tratamiento quirúrgico temprano para evitar complicaciones.  Presentación del caso:  Se reporta un caso de un neonato masculino de 10 días, que presentó desde el nacimiento 2 tumoraciones lumbares derechas, la una que aumentaba de tamaño con el llanto que correspondió a hernia lumbar y la otra a mielomenigocele. En estudios complementarios se evidenció fusión de 1ra y 2da, 3era y 4ta, costilla 11 y 12 derecha, costilla 13 accesoria derecha y 13, 14 izquierda, múltiples defectos de fusión de cuerpos vertebrales lumbares y sacros (hemivértebras), defecto de pared de aproximadamente 1 cm con protrusión de contenido intestinal, siendo diagnosticado de SLCV asociado a mielomenigocele. Se realizó cierre simple y refuerzo de la pared con parche de pericardio de bovino y plastia de mielomeningocele, sin complicaciones. Presentamos este caso debido a la rareza reportada en la literatura.  Conclusiones:  El SLCV es una entidad rara, que amerita resolución quirúrgica temprana para evitar complicaciones, además de un manejo multidisciplinario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Lumbo-costo-vertebral syndrome is a rare anomaly that affects the vertebral bodies, the ribs and the muscles of the abdominal wall, and multiple additional congenital abnormalities requiring multidisciplinary management and early surgical intervention to avoid complications.  Case presentation:  A 10-day-old male infant presents with two right lumbar tumors, one that increased in size with crying consistent with a lumbar hernia, and the other a myelomeningocele. In complementary studies, it was found that the patient had fusion of the 1st and 2nd, 3rd and 4th and 11th and 12th ribs on the right, a 13th accessory rib on the right, and a 13th and 14th accessory rib on the left in addition to multiple defects in the fusion of the lumbar and sacral vertebral bodies, and a 1cm defect in the abdominal wall with protrusion of abdominal contents. The patient was diagnosed with LCVS with an associated myelomeningocele and underwent a simple closure and repair of the abdominal defect with a bovine pericardial patch, and plasty of the myelomeningocele without complications. We present this case due to the rarity with which it is reported in the literature.  Conclusions:  LCVS is a rare entity that merits early surgical resolution to avoid complications, in addition to multidisciplinary management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hernia lumbar]]></kwd>
<kwd lng="es"><![CDATA[lumbo-costo-vertebral]]></kwd>
<kwd lng="es"><![CDATA[hemivértebra]]></kwd>
<kwd lng="es"><![CDATA[Meningomielocele.]]></kwd>
<kwd lng="en"><![CDATA[lumbar hernia]]></kwd>
<kwd lng="en"><![CDATA[lumbo-costo-vertebral]]></kwd>
<kwd lng="en"><![CDATA[hemivertebrae]]></kwd>
<kwd lng="en"><![CDATA[Meningomyelocele.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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