| An exceptional case of complete lumbosacral spine duplication and open myelomeningocele in adulthood. | |
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MedLine Citation:
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PMID: 21039160 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The authors describe the case of a 47-year-old woman with a wide (14 × 12-cm) ulcerated lumbosacral myelomeningocele. The patient had sought medical attention for a sudden copious CSF leak from the lumbosacral sac followed by clinical signs of CSF leakage. After admission, neuroradiological assessment (spinal MR and 3D CT imaging) revealed the uncommon finding of a complex malformation characterized by a complete spine duplication originating at the L2-3 level, both hemicords having a separate dural sac. The myelomeningocele sac originated medially at the L-2 level. Surgical repair of the lumbosacral myelomeningocele was performed. The placement of a ventriculoperitoneal shunt became necessary to treat secondary hydrocephalus. After reviewing accredited classifications on spinal cord malformations, the authors believe that, to date, complete duplication and separation of the spine and dural sac seems exceptional, and its report in adulthood appears exceedingly rare. |
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Authors:
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Nicola Alberio; Luigi Pentimalli; Raffaele Alessandrello; Rita Lipani; Marco Maiello; Antonio Morabito; Angelo Spitaleri; Maria Rita Zambuto; Pierfranco Soma; Natale Francaviglia |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery. Spine Volume: 13 ISSN: 1547-5646 ISO Abbreviation: J Neurosurg Spine Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-02 Completed Date: 2010-11-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101223545 Medline TA: J Neurosurg Spine Country: United States |
Other Details:
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Languages: eng Pagination: 659-61 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, S. Elia General Hospital, Caltanissetta, Catania, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple
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diagnosis Female Humans Hydrocephalus / etiology, surgery Imaging, Three-Dimensional Lumbar Vertebrae / abnormalities* Magnetic Resonance Imaging Meningomyelocele / complications*, diagnosis, surgery Middle Aged Reoperation Sacrum / abnormalities* Tomography, X-Ray Computed Treatment Outcome Ventriculoperitoneal Shunt |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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