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Diastematomyelia - type II

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Lumbar hypertrichosis with leg weakness.

Patient Data

Age: 3 years
Gender: Female
mri

The MRI sequences demonstrate:

  • mild lower dorsal scoliosis of left-sided convexity
  • congenital vertebral block from T8-T9 to T10-T11 with butterfly T11 vertebra
  • diastematomyelia type II from T9-T10 to L2-L3  (hemicords within a single dural sac with no spur/septum)
  • the conus medullaris terminates at L2-L3 (normal anatomical variant)
  • spina bifida oculta along several vertebrae
  • distended subarachnoid spaces/ thecal sac

Case Discussion

MRI features of a diastematomyelia type II with associated vertebral anomalies

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