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Pathology of Split Cord Malformations in Children

This page was last updated on May 9th, 2017

  • Diastematomyelia: The hemicords are separated by a bony or cartilaginous medial septum. Spine defects are usually present at the level of the split. Cutaneous stigmata are identified in two-thirds of cases, consisting of hypertrichosis, lipomas, dimples, or hemangiomas. Orthopedic foot deformities are often associated with the condition.

Diastematomyelia: Hemicords are seen in this operative photograph. The arrow points to the location of the fibrous septum.

 

  • Diplomyelia: The hemicords are separated by a fibrous septum. There are usually no spine abnormalities at the junction of the hemicord, but posterior spinal defects are identified in the lumbosacral region.

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