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[Diastematomyelia discovered in adulthood].
F Grailet1, B Maillard2, M Tomasella2
1Faculté de Médecine, ULiège, Belgique.
Revue Medicale De Liege
|September 10, 2020
Summary
This case study highlights diastematomyelia, a rare adult congenital anomaly causing lumbar pain. Early diagnosis and proper management are crucial to prevent neurological deterioration.
Area of Science:
- Neurology
- Medical Imaging
- Congenital Abnormalities
Background:
- Diastematomyelia is a rare congenital spinal malformation, typically diagnosed in utero.
- Adult presentation of diastematomyelia is uncommon and often discovered incidentally.
- Recurrent lumbar pain and cruralgia can be presenting symptoms in adults.
Observation:
- A 35-year-old woman presented with chronic lumbar pain and left-sided leg pain (cruralgia).
- Imaging revealed a congenital anomaly, later diagnosed as diastematomyelia.
- This diagnosis was made fortuitously through a scanner (CT scan).
Findings:
- Diastematomyelia, a split spinal cord malformation, is rare in adulthood.
- Associated malformations can suggest the presence of diastematomyelia.
- The case underscores the importance of thorough iconographic assessment.
Implications:
- Management strategies for adult diastematomyelia remain controversial.
- Inadequate management can result in significant and disabling neurological deficits.
- This case emphasizes the need for increased awareness and diagnostic vigilance for spinal malformations in adults presenting with chronic pain.
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