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Fetal diastematomyelia associated with vertebral malformation: ultrasound, MRI, and pathomorphological findings

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Abstract

Using a specific clinical example, we demonstrate the ability of prenatal magnetic resonance imaging (MRI) to diagnose associated spine and spinal cord malformations in the group of spinal dysraphisms. Thus, the original ultrasound (US) and MRI results for the affected fetus at week 21 are illustrated and described in detail. The paucity of reports of prenatal MR-semiotic findings of split cord malformation comparing US and pathomorphological findings at a relatively early gestational age makes the present case unique and instructive. The outstanding capability of MRI to diagnose spinal pathologies indicates the necessity of including prenatal MRI in the diagnostic algorithm to determine the severity of the lesions and the appropriate management during pregnancy, childbirth, and the early postnatal period.

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Acknowledgments

This work was financially supported by the Russian Science Foundation (Project #14-35-00020). Aleksandra Korostyshevskaya has received research grants from the Russian Science Foundation (Project #14-35-00020). Andrey Savelov has received research grants from the Russian Science Foundation (Project #14-35-00020). Darya Avdeeva has received research grants from the Russian Science Foundation (Project #14-35-00020). Andrey Tulupov has received research grants from the Russian Science Foundation (Project #14-35-00020).

Conflict of interest

Arkadiy Makogon declares that he has no conflict of interest.

Ethical considerations

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. The Institute International Tomography Center of the Russian Academy of Sciences, Institutskaya Str. 3 A, 630090, Novosibirsk, Russia

    Aleksandra Korostyshevskaya, Andrey Savelov, Darya Avdeeva & Andrey Tulupov

  2. Institute of Chemical Biology and Fundamental Medicine Siberian Branch of the Russian Academy of Sciences, Novosibirsk, Russia

    Arkadiy Makogon

  3. Novosibirsk State University, Novosibirsk, Russia

    Andrey Tulupov

Authors
  1. Aleksandra Korostyshevskaya
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  2. Arkadiy Makogon
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  3. Andrey Savelov
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  4. Darya Avdeeva
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  5. Andrey Tulupov
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Corresponding author

Correspondence to Andrey Tulupov.

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Korostyshevskaya, A., Makogon, A., Savelov, A. et al. Fetal diastematomyelia associated with vertebral malformation: ultrasound, MRI, and pathomorphological findings. J Med Ultrasonics 42, 559–563 (2015). https://doi.org/10.1007/s10396-015-0637-1

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  • DOI: https://doi.org/10.1007/s10396-015-0637-1

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