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Related Experiment Videos

Adult diastematomyelia

R M Linn1, L T Ford

  • 1Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri.

Spine
|April 1, 1994
PubMed
Summary
This summary is machine-generated.

Diastematomyelia can be silent in adults, presenting as lumbar radiculopathy. Advanced imaging like CT or MRI is crucial for diagnosis when routine myelography is insufficient.

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Area of Science:

  • Neurology
  • Radiology
  • Spinal Surgery

Background:

  • A rare case of adult-onset lumbar radiculopathy with clinically silent diastematomyelia is presented.
  • Initial radiographic findings included spina bifida occulta, with routine myelography showing only a disc bulge.

Observation:

  • The patient's neurologic examination was normal despite presenting symptoms.
  • Metrizamide myelography followed by computed tomography (CT) revealed diastematomyelia and a tethered cord.

Findings:

  • Diastematomyelia, a congenital condition, can remain undiagnosed into adulthood.
  • Standard myelography may fail to detect diastematomyelia and associated spinal cord abnormalities.

Implications:

  • Computed tomography (CT) and magnetic resonance imaging (MRI) are essential for accurate diagnosis of complex spinal malformations.

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  • This case highlights the importance of advanced imaging in evaluating spinal pathologies, even in the absence of overt neurological deficits.