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http://dx.doi.org/10.3340/jkns.2013.54.4.363

Split Cord Malformation Combined with Tethered Cord Syndrome in an Adult  

Kim, Young Deok (Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea)
Sung, Ji Hoon (Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea)
Hong, Jae Taek (Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea)
Lee, Sang Won (Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea)
Publication Information
Journal of Korean Neurosurgical Society / v.54, no.4, 2013 , pp. 363-365 More about this Journal
Abstract
Split cord malformations (SCMs) usually present in childhood, and are rarely reported in adults. And also, a cervicothoracic SCM associated with tethered cord syndrome has very rarely been reported in the literature. We report a case of SCM associated with tethered cord and spina bifida in an adult. This report describes the case of a 34-year-old woman who presented for evaluation of neck pain, back pain, and intermittent paraparesis of several months duration. The MRI and CT showed a SCM at the cervicothoracic level and a fibrous septum at the thoracic level. She underwent surgery for the SCM and tethered cord syndrome, and was followed for 7 years. Patient presented complete recovery in the follow-up. The authors discuss this unusual lesion and describe the anatomical relationship of the level of cord duplication and fibrous septum.
Keywords
Split cord malformation; Adult; Tethered cord syndrome;
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1 Akay KM, Izci Y, Baysefer A, Timurkaynak E : Split cord malformation in adults. Neurosurg Rev 27 : 99-105, 2004   DOI
2 Anderson RC, Ragel BT, Mocco J, Bohman LE, Brockmeyer DL : Selection of a rigid internal fixation construct for stabilization at the craniovertebral junction in pediatric patients. J Neurosurg 107 : 36-42, 2007
3 Guilloton L, Allary M, Jacquin O, Billaud Y, Drouet A, Felten D, et al. : [Split-cord malformation (diastematolmyelia) presenting in two adults : case report and a review of the literature]. Rev Neurol (Paris) 160 : 1180-1186, 2004   DOI
4 Andro C, Pecquery R, De Vries P, Forlodou P, Fenoll B : Split cervical spinal cord malformation and vertebral dysgenesis. Orthop Traumatol Surg Res 95 : 547-550, 2009   DOI
5 Chehrazi B, Haldeman S : Adult onset of tethered spinal cord syndrome due to fibrous diastematomyelia : case report. Neurosurgery 16 : 681-685, 1985   DOI
6 Dias MS, Pang D : Split cord malformations. Neurosurg Clin N Am 6 : 339-358, 1995
7 Hertzler DA 2nd, DePowell JJ, Stevenson CB, Mangano FT : Tethered cord syndrome : a review of the literature from embryology to adult presentation. Neurosurg Focus 29 : E1, 2010
8 Jindal A, Mahapatra AK : Split cord malformations--a clinical study of 48 cases. Indian Pediatr 37 : 603-607, 2000
9 Kaminker R, Fabry J, Midha R, Finkelstein JA : Split cord malformation with diastematomyelia presenting as neurogenic claudication in an adult : a case report. Spine (Phila Pa 1976) 25 : 2269-2271, 2000   DOI
10 Lapsiwala SB, Iskandar BJ : The tethered cord syndrome in adults with spina bifida occulta. Neurol Res 26 : 735-740, 2004   DOI
11 Lewandrowski KU, Rachlin JR, Glazer PA : Diastematomyelia presenting as progressive weakness in an adult after spinal fusion for adolescent idiopathic scoliosis. Spine J 4 : 116-119, 2004   DOI
12 Pallatroni HF, Ball PA, Duhaime AC : Split cord malformation as a cause of tethered cord syndrome in a 78-year-old female. Pediatr Neurosurg 40 : 80-83, 2004   DOI
13 Mahapatra AK, Gupta DK : Split cord malformations: a clinical study of 254 patients and a proposal for a new clinical-imaging classification. J Neurosurg 103 : 531-536, 2005
14 Pang D, Dias MS, Ahab-Barmada M : Split cord malformation : Part I : A unified theory of embryogenesis for double spinal cord malformations. Neurosurgery 31 : 451-480, 1992   DOI
15 Muroi A, Fleming KL, McComb JG : Split medulla in association with multiple closed neural tube defects. Childs Nerv Syst 26 : 967-971, 2010   DOI
16 Ozturk E, Sonmez G, Mutlu H, Sildiroglu HO, Velioglu M, Basekim CC, et al. : Split-cord malformation and accompanying anomalies. J Neuroradiol 35 : 150-156, 2008   DOI
17 Pang D : Split cord malformation : Part II : Clinical syndrome. Neurosurgery 31 : 481-500, 1992   DOI
18 Peart O : Split cord malformation. Radiol Technol 76 : 168, 2004
19 Sato K, Yoshida Y, Shirane R, Yoshimoto T : A split cord malformation with paresis of the unilateral lower limb : case report. Surg Neurol 58 : 406-409; discussion 409, 2002   DOI
20 Sharma A : Split cord malformations. Indian Pediatr 38 : 1069-1070, 2001
21 Wehby MC, O'Hollaren PS, Abtin K, Hume JL, Richards BJ : Occult tight filum terminale syndrome : results of surgical untethering. Pediatr Neurosurg 40 : 51-57; discussion 58, 2004   DOI
22 Yamada S, Colohan AR, Won DJ : Tethered cord syndrome. J Neurosurg Spine 10 : 79-80; author reply 80-81, 2009   DOI