Spine · 1994
Adult diastematomyelia.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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История · было → стало
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Linn R M, Ford L T
Аннотация
STUDY DESIGN: This is a rare report of a patient with clinically silent diastematomyelia unrecognized into adulthood.
OBJECTIVE: The report demonstrates that diastematomyelia may be clinically silent and may not be evident on routine myelography without computed tomography or magnetic resonance imaging.
SUMMARY OF BACKGROUND DATA: A patient presented with lumbar radiculopathy in adulthood. Neurologic examination was normal. Radiographs revealed spina bifida occulta at L5 and the sacrum. Previous myelography demonstrated only a central bulging intervertebral disc at L4-L5. Metrizamide myelography with post-myelography computed tomography demonstrated diastematomyelia with tethered cord.
CONCLUSIONS: Myelography alone may be insufficient in demonstrating the pathology described here. Post-myelography computed tomography or magnetic resonance imaging sufficiently demonstrated the abnormality in this patient.
OBJECTIVE: The report demonstrates that diastematomyelia may be clinically silent and may not be evident on routine myelography without computed tomography or magnetic resonance imaging.
SUMMARY OF BACKGROUND DATA: A patient presented with lumbar radiculopathy in adulthood. Neurologic examination was normal. Radiographs revealed spina bifida occulta at L5 and the sacrum. Previous myelography demonstrated only a central bulging intervertebral disc at L4-L5. Metrizamide myelography with post-myelography computed tomography demonstrated diastematomyelia with tethered cord.
CONCLUSIONS: Myelography alone may be insufficient in demonstrating the pathology described here. Post-myelography computed tomography or magnetic resonance imaging sufficiently demonstrated the abnormality in this patient.