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16-01-2024 | Diastematomyelia | Case Report

Cervical split cord malformation (diastematomyelia) with associated Klippel–Feil deformity presenting in adulthood with bimanual synkinesis

Authors: Edward Goacher, Christopher Lee

Published in: European Spine Journal

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Abstract

Background

Split cord malformation (SCM) is a rare congenital malformation of the spinal cord in which the cord is split longitudinally. Identification and diagnosis in adulthood is rare, with the majority of cases diagnosed in the paediatric population. Isolated segmental cervical SCM is rarer still.

Case presentation

Here, the authors present the case of a 26-year-old female who presented with neck pain and longstanding bimanual synkinesis secondary to an isolated type II SCM in the C4–C7 region. The authors present this novel presenting symptom in adulthood and finding of isolated cervical SCM with associated blocked cervical vertebrae, in an otherwise normal neuroaxis and spinal column.

Conclusions

The case serves to highlight the importance of knowledge of this rare congenital condition to surgeons, physicians and radiologists involved in the care of both adult and paediatric patients presenting with spinal pathology.
Literature
4.
go back to reference Adelson PD (2014) Diastematomyelia. In: Encyclopedia of the neurological sciences. Academic Press, pp 996–997 Adelson PD (2014) Diastematomyelia. In: Encyclopedia of the neurological sciences. Academic Press, pp 996–997
Metadata
Title
Cervical split cord malformation (diastematomyelia) with associated Klippel–Feil deformity presenting in adulthood with bimanual synkinesis
Authors
Edward Goacher
Christopher Lee
Publication date
16-01-2024
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-023-08068-7