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Child's Nervous System

, Volume 28, Issue 12, pp 2169–2172 | Cite as

Prenatal diagnosis of split cord malformation by ultrasound and fetal magnetic resonance imaging: case report and review of the literature

  • Mehmet Serdar Kutuk
  • Mahmut Tuncay OzgunEmail author
  • Mustafa Tas
  • Hatice Gamze Poyrazoglu
  • Ali Yikilmaz
Case Report

Abstract

Introduction

Split cord malformation (SCM) is rare congenital disorder of spine in which bony, fibrous, or cartilaginous septum subdivides partially or completely the vertebral canal. SCM can be associated with other spinal abnormalities such as spina bifida, Arnold–Chiari malformation, hemivertebra, butterfly vertebra, or kyphoscoliosis and also can be seen as part of Jarcho–Levin syndrome. Prenatal diagnosis of SCM is possible by ultrasonography (US). Fetal magnetic resonance imaging (MRI) and amniotic fluid acetylcholine esterase (AF-AChE) levels can be helpful to rule out additional anomalies. We present a case of fetal SCM diagnosed by US and fetal MRI.

Case

An 18-year-old woman with no obstetrics risk factor was referred for routine US screening. At sagittal section, fetal spine was seen to be disordered. A coronal view of the spinal canal showed evidence of widening at the lower thoracic and lumbar level. An echogenic mass was identified within the enlarged spinal canal at level of T6–L5. Fetal MRI and AF-AChE analysis confirmed diagnosis and ruled out other anomalies and spina bifida. Neurological examination of the baby at 16 months of age was normal.

Keywords

Split cord malformation Diastematomyelia Fetus Prenatal diagnosis Magnetic resonance imaging Ultrasonography 

Notes

Acknowledgments

This work has been submitted as a poster in the Turkey Maternal Fetal Medicine and Perinatology Association, the 8th National Congress, which will be held between 11 and 14 October 2012 in Istanbul, Turkey.

Conflict of interest

There is no source of funding and the authors share no conflict of interest.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Mehmet Serdar Kutuk
    • 1
  • Mahmut Tuncay Ozgun
    • 1
    Email author
  • Mustafa Tas
    • 1
  • Hatice Gamze Poyrazoglu
    • 2
  • Ali Yikilmaz
    • 3
  1. 1.Faculty of Medicine, Department of Obstetrics and Gynecology, Gevher Nesibe HospitalErciyes UniversityKayseriTurkey
  2. 2.Faculty of Medicine, Department of Pediatric NeurologyErciyes UniversityKayseriTurkey
  3. 3.Faculty of Medicine, Department of RadiologyErciyes UniversityKayseriTurkey

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