SPLIT CORD MALFORMATIONS: EXPERIENCE AT ALL INDIA INSTITUTE OF MEDICAL SCIENCES (AIIMS), NEW DELHI, INDIA

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Ashok Kumar Mahapatra
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SPLIT CORD MALFORMATIONS WITH DORSAL SPUR
SPLIT CORD MALFORMATIONS: EXPERIENCE AT ALL INDIA INSTITUTE OF MEDICAL SCIENCES (AIIMS), NEW DELHI, INDIA

Split cord malformations (SCMs) are uncommon forms of spinal dysraphism, often associated with other anomalies like myelomeningocele, neurenteric cyst, etc. Although unified theory of embryogenesis explains most of the cases of SCMs, however some complex types like SCM with posterior spur cannot be reasonably explained. Magnetic resonance imaging complemented by computed tomography scan is the best imaging modality to know the exact orientation bony septum as well as cord spliiting. Surgical excision of the spur with detethering of filum, in cases of low-lying conus, is the treatment of choice in which laminectomy with gradual drilling of the dorsally located spur should be done. The risk of post-operative worsening of the neurological status is increased in cases in which there is concomitant presence of hypertrophic posterior arch and low-lying conus. A detailed pre-operative clinico-radiological assessment to identify any associated pathology and good operative skills and technique can help achieve satisfactory results without causing further spinal-cord damage.

The article was published by
El artículo fue publicado por

Journal of Pediatric Neurosciences
Volume / Volumen: 7
Number / Número: 3
First and last pages / Páginas inicial-final: 167-170
Year / Año: 2012
Month / Mes: september

This journal, which is covered by SIIC Data Bases,
is part of the bibliographic collections of the Biblioteca Biomédica (BB) SIIC.
Esta revista, clasificada por SIIC Data Bases,
integra el acervo bibliográfico de la Biblioteca Biomédica (BB) SIIC.

Principal institution where the research took place
Institución principal de la investigación
ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, NEW DELHI, DELHI, India

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Bibliographic references
Referencias bibliográficas

Akay KM, Izci Y, Baysefer A. Dorsal bony septum: A split cord malformation variant. Pediatr Neurosurg 36:225-228, 2002.
Bremer JL. Dorsal intestinal fistula; accessory neurenteric canal; diastematomyelia. AMA Arch Pathol 54:132-138, 1952.
Chandra PS, Kamal R, Mahapatra AK. An unusual case of dorsally situated bony spur in a lumbar split cord malformation. Pediatr Neurosurg 31:49-52, 1999.
Er?ahin Y. An unusual split cord malformation. Pediatr Neurosurg 32:109, 2000.
Gupta DK, Ahmed S, Garg K, Mahapatra AK. Regrowth of septal spur in split cord malformation. Pediatr Neurosurg 46:242-424, 2010.
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 6:58-61, 2011.
Mahapatra AK, Gupta DK. Split cord malformations: A clinical study of 254 patients and a proposal for a new clinic-imaging classification. J Neurosurg Pediatr 103:531-536, 2005.
Ozturk E, Sonmez G, Mutlu H, Sildiroglu HO, Velioglu M, Basekim CC, Kizilkaya E. Split-cord malformation and accompanying anomalies. J Neuroradiol 35:150-156, 2008.
Pang D, Dias MS, Ahab-Barmada M. Split cord malformation: Part I: A unified theory of embryogenesis for double spinal cord malformations. Neurosurgery 31:451-480, 1992.
Pang D. Split cord malformation: Part II: Clinical syndrome. Neurosurgery 31:481-500, 1992.
Sinha S, Agarwal D, Mahapatra AK. Split cord malformations: An experience of 203 cases. Childs Nerv Syst 22:3-7, 2006.

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The authors' report was accepted on La crónica del autor fue aprobada el 2021, march 9	Published in siicsalud Publicado en siicsalud 2021, june 7

The article is strictly related to the following sections of siicsalud
El artículo se relaciona estrictamente con las siguientes secciones de siicsalud

Neurosurgery
/ Neurocirugía

Paediatrics
/ Pediatría

and secondarily related to the following sections
y secundariamente con las siguientes secciones

Epidemiology
Epidemiología

Genetics
Genética Humana

Pediatric Neurosurgery
Neurocirugía Pediátrica

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Split Cord Malformation With Dorsally Located Bony Spur: Report of Four Cases and Review of Literature

Author / Autor
Ashok Kumar Mahapatra¹, Ashis Patnaik²

2 Dr., All India Institute Of Medical Sciences (aiims), Bhubaneswar, Assistant Professor, Department Of Traum

Access to the original source
Journal of Pediatric Neurosciences

Article URL: / URL del artículo:
http://www.pediatricneurosciences.com/
URL of Abstract page in Medline: / URL del abstract en Medline:
http://www.ncbi.nlm.nih.gov/pubmed/?term=Split+Cord+Malformation+With+Dorsally+Located+Bony+Spur%3A+Report+of+Four+Cases+and+Review+of+Literature
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