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[Diastematomyelia discovered in adulthood].

F Grailet1, B Maillard2, M Tomasella2

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This case study highlights diastematomyelia, a rare adult congenital anomaly causing lumbar pain. Early diagnosis and proper management are crucial to prevent neurological deterioration.

Keywords:
Spinal dysraphismSplit cord malformationDiastematomyelia type 1

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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.