KMID : 1001920130540040363
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Journal of Korean Neurosurgical Society 2013 Volume.54 No. 4 p.363 ~ p.365
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Split Cord Malformation Combined with Tethered Cord Syndrome in an Adult
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Kim Young-Deok
Sung Ji-Hoon Hong Jae-Taek Lee Sang-Won
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Abstract
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Split cord malformations (SCMs) usually present in childhood, and are rarely reported in adults. And also, a cervicothoracic SCM associated with tethered cord syndrome has very rarely been reported in the literature. We report a case of SCM associated with tethered cord and spina bifida in an adult. This report describes the case of a 34-year-old woman who presented for evaluation of neck pain, back pain, and intermittent paraparesis of several months duration. The MRI and CT showed a SCM at the cervicothoracic level and a fibrous septum at the thoracic level. She underwent surgery for the SCM and tethered cord syndrome, and was followed for 7 years. Patient presented complete recovery in the follow-up. The authors discuss this unusual lesion and describe the anatomical relationship of the level of cord duplication and fibrous septum.
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KEYWORD
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Split cord malformation, Adult, Tethered cord syndrome
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