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Med J Bakirkoy. 2007; 3(4): 142-146


Split spinal cord malformations and associated spinal anomalies: Comparison of MRI findings with intraoperative results

Özgür Kılıçkesmez, Erol Taşdemiroğlu, Ercan İnci, Sibel Bayramoğlu, Tan Cimilli.

Abstract
The aim of this study is to assess the contribution of magnetic resonance imaging (MRI) in the diagnosis and evaluation of split spinal cord malformations (SSCM) and associated spinal anomalies.
Material and Methods: According to pang’s classification, we have reviewed and analyzed 22 cases of SSCMs treated at our institution
and present our findings.
Results: Six fibrous (27.3%) and 16 osseous (72.7%) septums were detected. Twenty one of them (95.4%) had tense cord.
Conclusion: Other components of spinal dysraphism such as lipomyelomeningocele, meningocele, occult intrasacral meningocele, phylum
terminale lipoma, lipoma, dermal sinus tract, dural ectasia, syringohydromyelia and bony abnormalities were associated with
diastematomyelia.

Key words: Split spinal cord malformations, diastematomyelia, spinal dysraphism, MRI



Yarık spinal kord malformasyonları ve ilişkili spinal anomaliler: MR görüntüleme sonuçları ve operasyon sonuçlarının karşılaştırılması

Özet
Amaç: Bu çalışmanın amacı yarık spinal kord malformasyonlarında manyetik rezonans görüntülemenin tanı ve değerlendirmeye olan katkısını araştırmaktır.
Gereç ve Yöntem: Pang sınışamasını temel alarak hastanemizde tedavi edilen 22 olguyu değerlendirerek bulguları sunduk.
Bulgular: Altı fibröz (%27.3) ve 16 kemik (%72.7) septum saptandı. Olguların 21’inde (%95.4) gergin omurilik sendromu vardı.
Sonuç: Diastematomyeliye, spinal disrafizmin diğer komponentlerinden olan lipomiyelomeningosel, meningosel, intrasakral meningosel,
filum terminale lipomu, lipom, dermal sinüs traktı, dural ektazi, siringomiyeli ve kemik anomalileri eşlik etmekteydi.

Anahtar Kelimeler: Yarık spinal kord malformasyonları, diastematomyeli, spinal disrafizm, MRG



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