Diastematomyelia - type II

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Chronic low back pain.

Patient Data

Age: 55 years
Gender: Male
mri

The MRI sequences demonstrate:

  • mild lumbar scoliosis of right-sided convexity
  • congenital vertebral block of L3-L4
  • diastematomyelia type II from L1-L2 to L2-L3  (asymmetrical hemicords within a single dural sac with no spur/septum)
  • the conus medullaris terminates at L3
  • spina bifida oculta at several lumbar vertebrae
  • distended subarachnoid spaces/ thecal sac

Case Discussion

MRI features of a diastematomyelia type II with associated vertebral anomalies.

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