Split Cord Malformation Combined with Tethered Cord Syndrome in an Adult.
10.3340/jkns.2013.54.4.363
- Author:
Young Deok KIM
1
;
Ji Hoon SUNG
;
Jae Taek HONG
;
Sang Won LEE
Author Information
1. Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. jatagi15@gmail.com
- Publication Type:Case Report
- Keywords:
Split cord malformation;
Adult;
Tethered cord syndrome
- MeSH:
Adult*;
Back Pain;
Female;
Follow-Up Studies;
General Surgery;
Humans;
Neck Pain;
Neural Tube Defects*;
Paraparesis;
Spinal Dysraphism
- From:Journal of Korean Neurosurgical Society
2013;54(4):363-365
- CountryRepublic of Korea
- Language:English
-
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.
