Neural tube defects (NTDs) are among the most common congenital malfor
mations of central nervous system and are frequently associated with o
ther organ system abnormalities. In order to evaluate the immunologica
l changes in such patients, we examined the lymphocyte subpopulations
of 13 newborns with NTDs and 32 healthy newborns. Leukocyte counts, ab
solute neutrophil and lymphocyte counts were lower in the babies with
NTDs. Also the lymphocyte subpopulations such as percentages and absol
ute counts of T-cells, CD4(+) cells, and CD45(+) cells showed statisti
cally significant decreases. These findings suggest that the affected
babies are immunosuppressed.