A tale of two cords.

نویسندگان

V Y Vishnu

Praveen Kesav

Sahil Mehta

Sudesh Kumar Prabhakar

چکیده

To cite: VY V, Kesav P, Mehta S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013008862 DESCRIPTION A 24-year-old lady, recently married, was brought to our hospital by her husband when he incidentally noticed a tuft of hair in her lower back which he considered as a bad omen after consulting a rural Indian faith healer. On physical examination, she had a tuft of hair in her lower back which was present since birth and progressively increasing in size (figure 1A). Rest of the physical examination was normal with no neurological deficits noted. MRI of the spine revealed a low lying spinal cord that was split into two unequal hemicords by a bony spur extending from lower border of L3 to upper border of L5 vertebral body (figures 2A,B). The conus medullaris reached up to L4–5 vertebral level with thick filum terminale. A large syrinx was present in distal spinal cord (left hemicord) extending from L1 to L4 vertebral level (figure 2C). This was associated with closed spina bifida and dural ectasia in the lower lumbar region, without meningocele or meningomyelocele. Diastematomyelia is a rare spinal dysraphism, characterised by a split spinal cord, caused by bony, cartilaginous or fibrous septa producing complete or incomplete hemicords. Clinical presentation is usually in childhood, with lower thoracic or upper lumbar spine involvement. Clinical suspicion is prompted by scoliosis, skin markers and neurological deficits. In adults, neurological deficits are an indication for surgery and prophylactic spur removal is not recommended in asymptomatic adults. Our patient, being asymptomatic was reassured and advised regular follow-up. Learning points

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

An Architectural Tale of the Two Cities

A comparative study of the corresponding styles of Western and Iranian modern architecture has hardly ever been carried out in detail. This paper aims to sketch out an outline for such an investigation and to present a summary of empirical evidence accompanied by field observations to elaborate the ongoing trend of relationship between architectural styles in Iran and that of the West. This is ...

متن کامل

Metacognitive Strategy Instruction and EFL learners’ Listening Comprehension Ability: A Tale of Two Genders

This research aimed to probe the effect of two different models of metacognitive strategy instruction on the listening performance of EFL learners in Iran. 83 intermediate EFL learners in four groups, two male and two female groups were the participants. The participants in the first experimental groups – a male and a female group – were undergone a ten-week treatment including the linear strat...

متن کامل

I-3: Tale of The Tail: Candidate Genes Involved in Sperm Flagella Formation

Background ISTS defect in which sperm tail is short and fibrous sheath and axoneme are disorganized, is one of the syndromes that cause male infertility. Although a few studies have been done in this regard, its exact etiology in human is unclear yet. Four candidate genes causing ISTS are SPEF2, RABL2B, and A-kinas anchoring proteins genes (AKAP3 and AKAP4). Proteins which coded by SPEF2 and RA...

متن کامل

A Comparative Study of Plato’s Allegory of the Cave and Suhrawardī’s Tale of the Western Exile

An important allegory throughout the history of philosophy is Plato’s allegory of the cave. There are remarkable similarities between this allegory and an allegory from Islamic philosophy—that of western exile (al-ghurba al-gharbiyya) proposed by Suhrawardī. This paper seeks to consider fundamental components and issues within the two allegories, including the issue of the soul as the ...

متن کامل