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Erschienen in:
22.10.2016 | Picture of the Month
Long Segment Bony Spur in Split Cord Malformation Type 1
Erschienen in: Indian Journal of Pediatrics | Ausgabe 3/2017
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An 8-y-old child presented to the authors’ outdoor department with scoliosis. His neurological examination revealed normal power and tone in both lower limbs. His non contrast CT spine revealed type 1 split cord malformation (SCM) with bony spur extending from D5 to D12 (Figs. 1, 2, 3 and 4). MRI revealed two hemicords with low lying conus and syrinx. A T4 to T12 laminectomy and excision of bony spur under intraoperative neurophysiological monitoring was done. Filum terminale was sectioned at L5-S1 level. The patient made uneventful recovery.
Fig. 1
Non contrast CT whole spine (sagittal and coronal sections) revealing bony septum arising from the dorsal aspect of vertebral body of D5 to D12 (last rib bearing body)
Fig. 2
Non contrast CT (axial sections) through upper thoracic spine revealing bony septum (last row) arising from the dorsal aspect of vertebral body (arrow). Note is also made of the dysraphic posterior elements (star)
Fig. 3
Non contrast CT (axial sections) through lower thoracic spine revealing broad based bony septum arising from the dorsal aspect of vertebral body
Fig. 4
MRI T2 weighted images (axial sections) showing two hemicords (white arrow) separated by the septum. Note is also made of syrinx (black arrow)
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