11. The Association Between Waiting Time and Symptom Reduction after Elective Surgical Lumbar Discectomy (ESLD)

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• 作者：Jeffrey Quon ; Charles Fisher ; Boris Sobolev ; Marcel Dvorak ; Paul Bishop ; Jacek Kopec ; Martin Schechter ; Adrian Levy
• 关键词：Diastematomyelia ; Type I split-cord malformation ; Scoliosis ; Tethered cord ; Adult presentation ; Intradural extramedullary epidermoid tumor
• 刊名：The Spine Journal
• 出版年：2007
• 期刊代码：243_15299430
• 类别：med
• 出版时间：September-October 2007
• 卷：7
• 期：5, Supplement 1
• 页码：6S
• 文件大小：43 K

摘要

Diastematomyelia is a split-cord malformation often accompanied by other cord or column anomalies.

class="h4">Purpose

To report on an adult patient with diastematomyelia and discuss the embryological basis and related developmental sequelae of this split-cord malformation.

class="h4">Study design

Case report.

class="h4">Methods

A summary of the management of a 54-year-old woman with recent clinical symptomatology related to an undiagnosed split-cord malformation is presented with accompanying literature review.

class="h4">Results

A rare adult presentation of diastematomyelia with accompanying intradural extramedullary epidermoid tumor was repaired with resection of the soft-tissue mass and excision of the fibro-osseous septum.

class="h4">Conclusion

Initial presentation of diastematomyelia is rarely seen in adults; accompanying pathology includes scoliosis, tethered cord, and intradural tumors. Effective treatment involves identification of the primary pathology.