Presentation
Scoliosis of the spine with left convexity. The patient was referred to rule out associated abnormalities.
Patient Data
Dorsolumbar scoliotic deformity convex to the left side.
Block vertebra of L2 and L3 vertebrae.
Dorsolumbar scoliotic deformity convex to the left side with no appreciable changes in bending views on digital radiography.
Block vertebra of D3 and D4 and L2 and L3 vertebrae with rudimentary intervening disc spaces.
Splitted cord with duplicated dural sac is seen opposite the level of the L2/3 block vertebra with evidence of a septum.
Syrinx is seen at the level of the L1 vertebra.
Low-lying conus medullaris at L3 vertebral level.
No evidence of overlying skin defects.
Case Discussion
this case represents diastematomyelia type 1, characterised by a duplicated dural sac separated by a midline bony or fibrous spur. Associated vertebral anomalies and hydromyelia are also observed in this case.
In patients with scoliosis, it is essential to investigate for segmentation anomalies and diastematomyelia, as these conditions are commonly associated.
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