Adult presentation of spinal dysraphism and tandem diastematomyelia

Paul Porensky*, Kenji Muro, Aruna Ganju

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)622-626
Number of pages5
JournalSpine Journal
Volume7
Issue number5
DOIs
StatePublished - Sep 1 2007

Keywords

  • Adult presentation
  • Diastematomyelia
  • Intradural extramedullary epidermoid tumor
  • Scoliosis
  • Tethered cord
  • Type I split-cord malformation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

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