J Korean Neurosurg Soc.  2013 Oct;54(4):363-365. 10.3340/jkns.2013.54.4.363.

Split Cord Malformation Combined with Tethered Cord Syndrome in an Adult

Affiliations
  • 1Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea. jatagi15@gmail.com

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.

Keyword

Split cord malformation; Adult; Tethered cord syndrome

MeSH Terms

Adult*
Back Pain
Female
Follow-Up Studies
General Surgery
Humans
Neck Pain
Neural Tube Defects*
Paraparesis
Spinal Dysraphism
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