CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2018; 07(03): 275-277
DOI: 10.1055/s-0038-1670019
Short Communication
Neurological Surgeons' Society of India

A Case of Split Cord Malformation with Triple Bony Spur in a Single Dural Sleeve—A Classification Dilemma

Saurabh Kumar Verma
1   Department of Neurosurgery, Army Hospital (Research & Referral), New Delhi, India
,
Madakasira Sitaram Sridhar
1   Department of Neurosurgery, Army Hospital (Research & Referral), New Delhi, India
,
Manish Garg
1   Department of Neurosurgery, Army Hospital (Research & Referral), New Delhi, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Received: 26. Dezember 2017

accepted: 18. Mai 2018

Publikationsdatum:
30. August 2018 (online)

Abstract

Split cord malformation-I (SCM-I) is characterized by the presence of double dural sacs, with rigid extradural bony/cartilaginous spur leading to symmetrical or asymmetrical division of the cord. In split cord malformation-II (SCM-II), there is a single dural sac with a nonrigid fibrous spur and symmetrical division of the cord. SCM-II are slightly more common than SCM-I, constituting around 50 to 60% of SCMs. The authors report a unique case of SCM with triple bony spurs lying both intra- and extradurally in a single dural sleeve. At the time of submission of this report, to the best of authors’ knowledge, no case of SCM with triple bony spurs in single dural sleeve has been reported anywhere in the world literature.

 
  • References

  • 1 Bremer JL. Dorsal intestinal fistula; accessory neurenteric canal; diastematomyelia. AMA Arch Pathol 1952; 54 (02) 132-138
  • 2 Pang D, Dias MS, Ahab-Barmada M. Split cord malformation: Part I: a unified theory of embryogenesis for double spinal cord malformations. Neurosurgery 1992; 31 (03) 451-480
  • 3 Pang D. Split cord malformation: Part II: clinical syndrome. Neurosurgery 1992; 31 (03) 481-500
  • 4 Khandelwal A, Tandon V, Mahapatra AK. An unusual case of 4 level spinal dysraphism: multiple composite type 1 and type 2 split cord malformation, dorsal myelocystocele and hydrocephalous. J Pediatr Neurosci 2011; 6 (01) 58-61
  • 5 Borkar SA, Mahapatra AK. Split cord malformations: a two years experience at AIIMS. Asian J Neurosurg 2012; 7 (02) 56-60