Correlation between computed tomography and magnetic resonance imaging in diastematomyelia

Özek, M. Memet; Pamir, M. Necmettin; Ozer, AF; Keles, G. Evren; Erzen, Canan

doi:10.1016/0720-048x(91)90032-q

Cited by 14 publications

(32 citation statements)

References 12 publications

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“…Other skin lesions found in patients with SSCMs include capillary hemangioma, nevus, skin dimple, and subcutaneous mass. 3,9,10,[15][16][17]19,[22][23][24][25]36 No skin lesions were found in 36 patients (49%) in this series. More than half of our patients had skin lesions that should warn the physician of the possibility of an occult spinal dysraphism, particularly SSCM.…”

Section: Discussionmentioning

confidence: 97%

“…24 Scoliosis is not uncommon in patients with SSCM. 3,9,[15][16][17][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]36 In 1974, Winter, et al, 36 reported a 4.9% incidence of diastematomyelia associated with congenital scoliosis. In 1984, McMaster 21 determined that diastematomyelia was the most common anomaly (16.3% of patients) in patients with congenital scoliosis.…”

Section: Discussionmentioning

confidence: 99%

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Split spinal cord malformations in children

Erşahin¹,

Mutluer²,

Kocaman³

et al. 1998

Journal of Neurosurgery

106

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The classification of SSCMs proposed by Pang, et al., will eliminate the current chaos in terminology. In all SSCMs, either a rigid or a fibrous septum was found to transfix the spinal cord. There was at least one unrelated lesion that caused tethering of the spinal cord in 85% of the patients. The risk of neurological deficits resulting from SSCMs increases with the age of the patient; therefore, all patients should be surgically treated when diagnosed, especially before the development of orthopedic and neurological manifestations.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Split spinal cord malformations in children

Erşahin¹,

Mutluer²,

Kocaman³

et al. 1998

Journal of Neurosurgery

106

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show abstract

“…Recent studies revealed that MRI and 3D CT are useful for the diagnosis of diastematomyelia [10, 11, 12], and in this case, the visible myeloschisis and underlying complex split cord formation as well as the septum were clearly revealed preoperatively using 3D CT and MRI. These findings enabled us to prepare not only for the closure of myeloschisis but also for the removal of the septum in a one-stage operation.…”

Section: Discussionmentioning

confidence: 88%

A Case of Diastematomyelia Associated with Myeloschisis in a Hemicord

Yamanaka

Hashimoto²,

Sasajima³

et al. 2001

Pediatr Neurosurg

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We report a case of myeloschisis on the right hemicord in a patient with diastematomyelia. The patient was a female neonate with myeloschisis visible at birth in the upper lumbar region. Radiological examination, including three-dimensional CT and MRI, clearly revealed a bony septum as well as the myeloschisis on the right hemicord, which enabled us to make a precise preoperative diagnosis of this complex anomaly. Closure of the myeloschisis and removal of the septum were successfully accomplished in one stage to prevent subsequent infection and neurological deterioration. The presence of combined diastematomyelia and myeloschisis is consistent with the hypothesis of an ontogenic basis of development and emphasizes the importance of early imaging for diagnosis in this complex anomaly.

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“…[12] Recent studies demonstrated that magnetic resonance imaging (MRI) and 3D CT are useful for the diagnosis of SCM. [61213] In this case, however, we approached this variant as an open dysraphism without preoperative MRI as the lesion was totally exposed and identifiable. [14] Careful intraoperative exploration was sufficient for the identification of the anatomy and the management of this variant.…”

Section: Discussionmentioning

confidence: 99%

Aplasia cutis congenita associated with type I split cord malformation: Unusual case

Abuzayed

Erdinçler

2014

J Pediatr Neurosci

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A full-term newborn girl born with large skin, muscle, bone and dural defect in the lumbo-sacral area. The lesion included a split spinal cord by a perpendicular bony spur and connected from its tip to the upper lamina. Patient was diagnosed with aplasia cutis congenita (ACC) associated with type I split cord malformation (SCM). Neurological examination of the lower extremities was normal. Spinal X-rays showed a bony spur on the L2 vertebral column and laminar defect in the lumbo-sacral area. Lesion was operated and closed according to anatomic layers. Clinical and intraoperative findings of this extremely rare case are discussed.

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Correlation between computed tomography and magnetic resonance imaging in diastematomyelia

Cited by 14 publications

References 12 publications

Split spinal cord malformations in children

Split spinal cord malformations in children

A Case of Diastematomyelia Associated with Myeloschisis in a Hemicord

Aplasia cutis congenita associated with type I split cord malformation: Unusual case

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