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Ashok Kumar Mahapatra describes for SIIC the most significant aspects of his article describe para SIIC los aspectos relevantes de su artículo SPLIT CORD MALFORMATIONS WITH DORSAL SPUR SPLIT CORD MALFORMATIONS: EXPERIENCE AT ALL INDIA INSTITUTE OF MEDICAL SCIENCES (AIIMS), NEW DELHI, INDIA Split cord malformations (SCMs) are uncommon forms of spinal dysraphism, often associated with other anomalies like myelomeningocele, neurenteric cyst, etc. Although unified theory of embryogenesis explains most of the cases of SCMs, however some complex types like SCM with posterior spur cannot be reasonably explained. Magnetic resonance imaging complemented by computed tomography scan is the best imaging modality to know the exact orientation bony septum as well as cord spliiting. Surgical excision of the spur with detethering of filum, in cases of low-lying conus, is the treatment of choice in which laminectomy with gradual drilling of the dorsally located spur should be done. The risk of post-operative worsening of the neurological status is increased in cases in which there is concomitant presence of hypertrophic posterior arch and low-lying conus. A detailed pre-operative clinico-radiological assessment to identify any associated pathology and good operative skills and technique can help achieve satisfactory results without causing further spinal-cord damage. The article was published by El artículo fue publicado por
Principal institution where the research took place Institución principal de la investigación ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, NEW DELHI, DELHI, India  Authors' Report Crónica del Autor Bibliographic references Referencias bibliográficas Akay KM, Izci Y, Baysefer A. Dorsal bony septum: A split cord malformation variant. Pediatr Neurosurg 36:225-228, 2002. Bremer JL. Dorsal intestinal fistula; accessory neurenteric canal; diastematomyelia. AMA Arch Pathol 54:132-138, 1952. Chandra PS, Kamal R, Mahapatra AK. An unusual case of dorsally situated bony spur in a lumbar split cord malformation. Pediatr Neurosurg 31:49-52, 1999. Er?ahin Y. An unusual split cord malformation. Pediatr Neurosurg 32:109, 2000. Gupta DK, Ahmed S, Garg K, Mahapatra AK. Regrowth of septal spur in split cord malformation. Pediatr Neurosurg 46:242-424, 2010. Khandelwal A, Tandon V, Mahapatra AK. An unusual case of 4 level spinal dysraphism: Multiple composite type 1 and type 2 split cord malformation, dorsal myelocystocele and hydrocephalous. J Pediatr Neurosci 6:58-61, 2011. Mahapatra AK, Gupta DK. Split cord malformations: A clinical study of 254 patients and a proposal for a new clinic-imaging classification. J Neurosurg Pediatr 103:531-536, 2005. Ozturk E, Sonmez G, Mutlu H, Sildiroglu HO, Velioglu M, Basekim CC, Kizilkaya E. Split-cord malformation and accompanying anomalies. J Neuroradiol 35:150-156, 2008. Pang D, Dias MS, Ahab-Barmada M. Split cord malformation: Part I: A unified theory of embryogenesis for double spinal cord malformations. Neurosurgery 31:451-480, 1992. Pang D. Split cord malformation: Part II: Clinical syndrome. Neurosurgery 31:481-500, 1992. Sinha S, Agarwal D, Mahapatra AK. Split cord malformations: An experience of 203 cases. Childs Nerv Syst 22:3-7, 2006. SIIC System of Assisted Editing (SSEA) / Sistema SIIC de Edición Asistida (SSEA)
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Information about the full text Acerca del trabajo completo Split Cord Malformation With Dorsally Located Bony Spur: Report of Four Cases and Review of Literature Author / Autor Ashok Kumar Mahapatra1, Ashis Patnaik2 2 Dr., All India Institute Of Medical Sciences (aiims), Bhubaneswar, Assistant Professor, Department Of Traum Access to the original source Journal of Pediatric Neurosciences Article URL: / URL del artículo: http://www.pediatricneurosciences.com/ URL of Abstract page in Medline: / URL del abstract en Medline: http://www.ncbi.nlm.nih.gov/pubmed/?term=Split+Cord+Malformation+With+Dorsally+Located+Bony+Spur%3A+Report+of+Four+Cases+and+Review+of+Literature siic DB: / siic DB: http://www.siicsalud.com/main/distriprinrel.php |
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