Abstract

Butterfly vertebra is a rare birth defect of the spine which is generally asymptomatic. Fewer cases of this defect are reported till now. Here we have reported a case of a 2 year old female baby, who presented with bilateral lower limb weakness and an involuntary passage of stools and urine since birth. Magnetic Resonance Imaging (MRI) confirmed the cause, which showed the presence of syrinx in the spinal cord extending from the vertebral level of T9-T11, butterfly vertebra at T11 level and spina bifida occulta. The neurological examination revealed decreased power in the bilateral lower limbs and bladder- bowel involvement.

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