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Diastematomyelia (antenatal ultrasound)

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Primigravida with 35 weeks of amenorrhea. No complaints.

Patient Data

Age: 20 yrs
Gender: Female
ultrasound

There is a single live intra-uterine fetus with growth corresponding to period of amenorrhea. There is the duplication of the spinal cord in lower dorsal level. However, there is no echogenic bony spur between two cords.

There is no open spina bifida. The cistern magna is normal. There is no hydrocephalus.

 

Case Discussion

Ultrasound findings favor diastematomyelia without a bony (echogenic) spur between the two cords. Postnatal ultrasound and MRI workup were recommended.

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