Hello Dr. Sears,
Our 3 m/o daughter is being evaluated for closed neural tube defects / spina bifida occulta / tethered spinal cord, etc. due to a sacral dimple (shallow, fully closed skin) and hair tuft. We were not planning on vaccinating her until later in childhood for only a few select vaccines. If she ends up being diagnosed with any of the conditions associated with her symptoms, would you suggest we reconsider vaccinating her with any of the vaccines that help prevent meningitis? Is her risk of meningitis higher than other children?
In case the info is relevant, we also intend to have her kidneys re-examined. There was significant enlargement in one kidney as well as renal pyelectasis (she also had a second soft marker - Echogenic intracardiac focus - but does not have any obvious signs of down syndrome, etc.; amniocentesis was not done) in utero, both of which resolved by early 3rd trimester. I understand that kidney issues and NTDs can occur simultaneously during early development.
Thanks for your help!