Ces radiol. 2010, 64(3):230-233
Diastematomyelia in prenatal and postnatal magnetic resonance imagingCase report
- 1 Clinic of Neurology, St. Anne Faculty Hospital, Brno
- 2 Department of Pediatric Radiology, Brno Faculty Hospital, Brno
- 3 Clinic of Obstetrics and Gynecology, Brno Faculty Hospital, Brno
- 4 Department of Radiology, University Hospital Olomouc, Olomouc
Diastematomyelia or split cord malformation is a rare congenital anomaly. It represents a type of spinal dysraphism in children with the portion of spinal cord divided into two hemicords. In presented case Pang type I diastematomyelia with the hemicords divided by the bony septum is documented in prenatal magnetic resonance imaging (MRI), followed by postnatal MRI and computed tomography (CT) study. According to presented case, diastematomyelia without any other serious fetal anomaly may carry a good prognosis if early exactly diagnosed and treated with prenatal multidisciplinar counselling followed by proper postnatal treatment.
Keywords: neural tube defects, prenatal magnetic resonance imaging, early diagnosis, prognosis
Accepted: July 15, 2010; Published: September 1, 2010 Show citation
References
- Pang D, Hoffman HJ, Rekate HL. Split cord malformation. Part 2: clinical syndrome. Neurosurgery 1992; 31: 481-500.
Go to original source...
Go to PubMed...
- Brichtová E. Vrozené vývojové vady neurokrania. In: Brichtová E, et al. Onemocnění dětského neurokrania. Prague: Triton 2009; 48-79.
- Anderson NG, Jordan S, MacFarlane MR, Lovell-Smith M. Distematomyelia: diagnosis by prenatal sonography. Am J Roentgenol 1994; 163: 911-914.
Go to original source...
Go to PubMed...
- Uyar Y, Bayer YB, Calli C, Cetinkaya B, Caglar H. Intrauterine-diagnosed diastematomyelia. Ultrasound Obstet Gynecol 2007; 30: 907-912.
Go to original source...
Go to PubMed...
- Hensinger RN, MacEwen GD. Congenital anomalies of the spine. The Spine. Philadelphia: WB Saunders 1982; 255-263.
- Repko M, Horký D, Krbec M, Chaloupka R, Brichtová E, Lauschová I. The role of the autonomic nervous system in the etiology of idiopathic scoliosis: prospective electron microscopic and morphometric study. Childs Nerv Syst 2008; 24: 731-734.
Go to original source...
Go to PubMed...
- Brichtová E. Neurochirurgické aspekty defektů uzávěru neurální trubice. In: Poul J. Dětská ortopedie. Prague: Galén 2009; 302-304.
- Brichtová E, Mackerle Z. Uzávěr tvrdé pleny míšní při operaci dětské pacientky s diastematomyelií. In: Využití přípravku Tachosil v neurochirurgii, hrudní a břišní chirurgii. Prague: Medical Tribune 2009; 33-36.
- Gan YC, Sgouros S, Walsh AR, Hockley AD. Diastematomyelia in children: treatment outcome and natural history of associated syringomyelia. Childs Nerv Syst 2007; 23: 515-519.
Go to original source...
Go to PubMed...
- Sonigo-Cohen P, Schmit P, Zerah M, et al. Prenatal Diagnosis of Diastematomyelia. Childs Nerv Syst 2003; 19: 555-560.
Go to original source...
Go to PubMed...
- Goldberg C, Fenelon G, Blake NS, et al. Diastematomyelia: a critical review of the natural history and treatment. Spine 1984; 9: 367-372.
Go to original source...
Go to PubMed...
- Shaw JF. Diastematomyelia. Devel Med and Child Neurol 1975; 17: 361-364.
Go to original source...
Go to PubMed...
- Guthkelch AN. Diastematomyelia with median septum. Brain 1974; 97: 729-742.
Go to original source...
Go to PubMed...
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