Diastématomyélie révélée chez l’adulte : étude de deux cas et revue de la littérature

Guilloton, L.; Allary, M.; Jacquin, O.; Billaud, Y; Drouet, A.; Felten, D.; Volckmann, P.

doi:10.1016/s0035-3787(04)71163-7

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…2 SCMs can manifest if this process is abnormal in the setting of a longitudinal division in the form of a fistula. [4][5][6] Therefore, the formation of the fistula itself is the initial pathway that is mutual to all of the SCMs. Incidence of an SCM was found to be bimodal, where most patients presented in infancy or their teens and later presentations happened in latter parts of the fourth decade of life.…”

Section: Discussionmentioning

confidence: 99%

Split cord malformation associated with scoliosis in adults

Nazarali

Lyon

Cleveland

et al. 2019

Baylor University Medical Center Proceedings

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Section: Discussionmentioning

confidence: 99%

Split cord malformation associated with scoliosis in adults

Nazarali

Lyon

Cleveland

et al. 2019

Baylor University Medical Center Proceedings

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“…SCM is a rare spinal anomaly that refers to a longitudinal division of the spinal cord into two divided hemi-cords6,11). This malformation has been reported to be associated with a split of the spinal column, spinal bony spurs, myeloceles, myelomeningoceles, lipomas, and dermal sinus15,16).…”

Section: Discussionmentioning

confidence: 99%

Split Cord Malformation Combined with Tethered Cord Syndrome in an Adult

Kim

Sung

Hong

et al. 2013

J Korean Neurosurg Soc

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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.

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“…Symptoms typically reflect traction on the cord and stretch-induced ischemia. [1-7,9-11,13-15,18,20-28,30,32-35] TC in adults presents somewhat differently than in children, with predominant symptoms that include pain (81.6%), weakness (72.3%), and sensory disturbances (78.7%). [2] There are often cutaneous stigmata, foot deformity, or scoliosis not previously diagnosed in childhood.…”

Section: Introductionmentioning

confidence: 99%

Type I split cord malformation and tethered cord syndrome in an adult patient: A case report and literature review

D’Agostino

Calnan

Makler

et al. 2019

Surgical Neurology International

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Background: In a split cord malformation (SCM), the spinal cord is divided longitudinally into two distinct hemicords that later rejoin. This can result in a tethered cord syndrome (TCS). Rarely, TCS secondary to SCM presents in adulthood. Here, we present an adult female with Type I SCM resulting in TCS and a review of literature. Case Description: A 57-year-old female with a history of spina bifida occulta presented with a 2-year history of worsening back and left leg pain, difficulty with ambulation, and intermittent urinary incontinence; she had not responded to conservative therapy. Magnetic resonance imaging (MRI) revealed a tethered cord secondary to lumbar type I SCM. The patient underwent an L1–S1 laminectomy for resection of the bony septum with cord detethering. At 2-month follow-up, the patient had improvement in her motor symptoms and less pain. In literature, 25 cases of adult-onset surgically managed SCM with TCS were identified (between 1936 and 2018). Patients averaged 37 years of age at the time of diagnosis, and 56% were female. Conclusion: TCS can present secondary to SCM in adulthood and is characterized predominantly by back and leg pain.

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Diastématomyélie révélée chez l’adulte : étude de deux cas et revue de la littérature

Cited by 6 publications

References 26 publications

Split cord malformation associated with scoliosis in adults

Split cord malformation associated with scoliosis in adults

Split Cord Malformation Combined with Tethered Cord Syndrome in an Adult

Type I split cord malformation and tethered cord syndrome in an adult patient: A case report and literature review

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