Document Detail


Adult presentation of spinal dysraphism and tandem diastematomyelia.
MedLine Citation:
PMID:  17905326     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND CONTEXT: Diastematomyelia is a split-cord malformation often accompanied by other cord or column anomalies. PURPOSE: To report on an adult patient with diastematomyelia and discuss the embryological basis and related developmental sequelae of this split-cord malformation. STUDY DESIGN: Case report. METHODS: A summary of the management of a 54-year-old woman with recent clinical symptomatology related to an undiagnosed split-cord malformation is presented with accompanying literature review. RESULTS: A rare adult presentation of diastematomyelia with accompanying intradural extramedullary epidermoid tumor was repaired with resection of the soft-tissue mass and excision of the fibro-osseous septum. CONCLUSION: Initial presentation of diastematomyelia is rarely seen in adults; accompanying pathology includes scoliosis, tethered cord, and intradural tumors. Effective treatment involves identification of the primary pathology.
Authors:
Paul Porensky; Kenji Muro; Aruna Ganju
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-02-05
Journal Detail:
Title:  The spine journal : official journal of the North American Spine Society     Volume:  7     ISSN:  1529-9430     ISO Abbreviation:  Spine J     Publication Date:    2007 Sep-Oct
Date Detail:
Created Date:  2007-10-01     Completed Date:  2008-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130732     Medline TA:  Spine J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  622-6     Citation Subset:  IM    
Affiliation:
Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, 244 E. Pearson St. #1705, Chicago, Illinois 60611, USA. p-poresnky@md.northwestern.edu
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Epidermal Cyst / pathology,  radiography*,  surgery
Female
Humans
Magnetic Resonance Imaging
Middle Aged
Neural Tube Defects / pathology,  radiography*,  surgery
Preoperative Care
Spinal Canal / pathology,  radiography
Spinal Dysraphism / pathology,  radiography*,  surgery
Tomography, X-Ray Computed

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