Journal of Semnan University of Medical Sciences
Image Credit:Koomesh
Outline
Split Cord Malformation with Single Dural Sheath: A Case Report
Authors
Abstract
Introduction: Diastematomyelia, also known as a split cord malformation, is a rare congenital anomaly in which the spinal
cord splits into two hemicords within a single dural sheath (type II) or double dural tubes (type I) along a section of its length.
Diastematomyelia accounts for about %5 of all congenital spinal defects.
Case report: A 45-year-old man presented to the imaging center with a tuft of hair over the lower back since birth. The patient's
bladder and bowel functions were normal. Following a magnetic resonance imaging scan, spinal dysraphism in the thoracolumbar
area with split cord malformation type II was observed, characterized by two hemicords in the subdural space.
Conclusion: Early diagnosis of these problems through clinical symptoms and advanced imaging before surgery is crucial, as it
reduces the likelihood of errors or surgical complications.
Highlights
References
- 1.Kaplan KM, Spivak JM, Bendo JA. Embryology of the spine and associated congenital abnormalities. Spine J. 2005;5(5):564-76. [PubMed ID:16153587]. https://doi.org/10.1016/j.spinee.2004.10.044.
- 2.Gupta P, Kumar A, Kumar A, Goel S. Congenital spinal cord anomalies: a pictorial review. Curr Probl Diagn Radiol. 2013;42(2):57-66. [PubMed ID:23332138]. https://doi.org/10.1067/j.cpradiol.2012.06.002.
- 3.Beuriat PA, Di Rocco F, Szathmari A, Mottolese C. Management of split cord malformation in children: the Lyon experience. Childs Nerv Syst. 2018;34(5):883-91. [PubMed ID:29582170]. https://doi.org/10.1007/s00381-018-3772-3.
- 4.Cheng B, Li FT, Lin L. Diastematomyelia: a retrospective review of 138 patients. J Bone Joint Surg Br. 2012;94(3):365-72. [PubMed ID:22371545]. https://doi.org/10.1302/0301-620X.94B3.27897.
- 5.Zhang JF, Strelko O, Komarov O, Kuts-Karpenko V, Forbes JA, Fedorko O, et al. Cervical Diastematomyelia: A Case Presentation and Systematic Review. J Neurol Surg Rep. 2024;85(2):e74-e82. [PubMed ID:38798790]. [PubMed Central ID:PMC11126352]. https://doi.org/10.1055/a-2319-3444.
- 6.Ozturk E, Sonmez G, Mutlu H, Sildiroglu HO, Velioglu M, Basekim CC, et al. Split-cord malformation and accompanying anomalies. J Neuroradiol. 2008;35(3):150-6. [PubMed ID:18206241]. https://doi.org/10.1016/j.neurad.2007.11.006.
- 7.Karim Ahmed A, Howell EP, Harward S, Sankey EW, Ehresman J, Schilling A, et al. Split cord malformation in adults: Literature review and classification. Clin Neurol Neurosurg. 2020;193:105733. [PubMed ID:32146230]. https://doi.org/10.1016/j.clineuro.2020.105733.
- 8.Hao S, Yue Z, Yu X, Gao Z, Li H, Liu S, et al. Case report: Type I diastematomyelia with breast abnormalities and clubfoot. Front Surg. 2022;9:981069. [PubMed ID:36157404]. [PubMed Central ID:PMC9491464]. https://doi.org/10.3389/fsurg.2022.981069.
- 9.Chen XY, Peng GH, Zhu Y, Yang AH, Cheng ST, Ding XY. A case of interhemispheric fissure misdiagnosed as congenital clubfoot. J Fourth Mil Med Univ. 2007;28(9):830-.
Copyright
© 2025, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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