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A split cord malformation

M Katoh1, K Hida, Y Iwasaki

  • 1Department of Neurosurgery, Hokkaido University School of Medicine, Sapporo, Japan. masasama@coral.ocn.ne.jp

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|September 30, 1998
PubMed
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This case report highlights split cord malformation, a rare spinal condition. CT myelography proved superior to MRI in diagnosing this specific case, emphasizing the need for diverse imaging techniques.

Area of Science:

  • Neurology
  • Pediatric Neurosurgery
  • Diagnostic Imaging

Background:

  • Split cord malformation (SCM) is a congenital anomaly of the spinal cord.
  • It is often associated with other spinal dysraphisms.
  • Accurate diagnosis is crucial for timely surgical intervention.

Observation:

  • A 2-year-old boy presented with a 3-month history of neurogenic bladder.
  • Magnetic resonance imaging (MRI) did not reveal abnormalities around the conus medullaris.
  • Computed tomography (CT) myelography clearly showed a split filum terminale.

Findings:

  • The patient was diagnosed with split cord malformation without a septum.
  • CT myelography demonstrated superior diagnostic capability compared to MRI in this instance.

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  • The filum terminale was found to be split, indicating cord tethering.

    • Implications:

    • This case underscores the potential limitations of MRI in diagnosing certain SCM presentations.
    • CT myelography may be essential for detecting subtle spinal cord anomalies.
    • Early and accurate diagnosis through appropriate imaging is vital for preventing neurological deterioration.