Abstract
A 34-year-old female patient presented with a 4-month history of bilateraly lombosciatalgy and left lower-extremity paresthesia, Urinary urgency began within the last month, although bowel function was normal. She had a normal neurologic examination. Plain radiographs showed fusion of L2 and L3 vertebral bodies, with a bony septum at L2-L3 revealed clearly by tomodensitometry.
Highlights
Diastematomyelia, or split cord malformations (SCM) are congenital spinal anomalies with incomplete splitting of the spinal cord in the sagittal plane
A midline lumbar exposure was followed by L2-L4 laminectomy, The mass was grossly consistent with epidermoid tumor; this was debulked, the septum divided the spinal cord was resected
Diastematomyelia or SCMs are a spinal dysraphism characterized by the presence of an osseous, cartilaginous, or fibrous septum that splits the spinal cord into two distinct hemicords
Summary
Diastematomyelia, or split cord malformations (SCM) are congenital spinal anomalies with incomplete splitting of the spinal cord in the sagittal plane. It is usually seen in children, and presentation in adulthood is extremely rare. To report on an adult patient with diastematomyelia and discuss the embryological basis and related developmental sequelae of this split-cord malformation
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