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Year : 1998  |  Volume : 46  |  Issue : 4  |  Page : 319--322

Diastematomyelia in adults : pathogenesis, MR imaging and management principles.


Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, India

Correspondence Address:
SK Gupta
Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


PMID: 29508832

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Diastematomyelia is an uncommon developmental anomaly, usually presenting in childhood. Adult presentation is rare. We report three patients of diastematomyelia, becoming symptomatic in adulthood. These constituted 17 of all adult patients with tethered cord syndrome. One patient had a nonprogressive childhood deficit and two had a cutaneous stigmata in the lower back. In one patient, the symptoms were precipitated following trauma. All patients were investigated by MRI which demonstrated the diastematomyelic lesion. One had an associated intraspinal enterogenous cyst. We recommend prophylactic surgery in patients with diastematomyelia, once the diagnosis is established. The pathogenesis of adult diastematomyelia is discussed.






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Online since 20th March '04
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