Split cord Malformations
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This document discusses split cord malformations, including diastematomyelia and diplomyelia. It presents the case of a 73-year-old woman with left lower back pain and weakness who was found to have left L5 radiculopathy and foraminal stenosis. It also provides background on Charles Prosper Ollivier d'Angers, the 19th century French officer and researcher who coined the term syringomyelia and studied spinal cord malformations. Finally, it includes diagrams of different types of spinal lesions seen in spina bifida conditions, including diastematomyelia which can be associated with hypertrichosis.
Split cord Malformations
- 1. Split Cord Malformations Upper Chesapeake Spine Conference May 6, 2016
- 3. • 73 year old woman L LBP lower pain weakness • HPI: one month symptoms, much improved • PMH: ACDF, chole, emphysema, low thyroid • Med: Prolastin, levothyroxine, HCTZ, metoprolol, succinate ER, venlafaxine, KCl, trazodone • Allerg: MSO4 • Exam 5’1” 145 lb, trendeleberg list, L hip abductor weakness cannot stand on L leg single stance, L anke DF 2/5 motor • IMP: L L radiculopathy foramenal stenosis
- 30. Charles Prosper Ollivier d'Angers (1796-1845) officer napoleons young guard served in Battle of Waterloo and left the military father was a pharmacist no microscope spinal cord researcher coined the term syringomyelia practitioner/anatomist/pathologist studied embryology
- 33. Diastematomyelia diplomyelia spinal dysraphism split cord malformation 1. 2 hemicords, individual dural tubes, midline osteocartilagenous spur 2. 2 hemicords, single dural tube, nonrigid fibrous septum
- 37. Hypertrichosis (half of diastematomyelia cases)
- 38. Cross section diagrams of spinal lesions seen in spina bifida. (A) Myelomeningocele. (B) Myeloschisis. (C) Diastematomyelia with a spur and hypertrichosis in association with SB occulta. (D) Myelodysplasia with a meningocele and subcutaneous lipoma.
- 43. thanks