Abstract
Background
Diastematomyelia and diplomyelia are rare form of spinal cord malformations (SCM) characterized by sagittal cleft in the spinal cord, conus medullaris, and/or filum terminale with splaying of the posterior vertebral elements and duplication of the spinal cord into two twin cords. Prenatal diagnosis of these diseases by two-dimensional ultrasound has been reported usually late in pregnancy and only recently in the first trimester.
Objective
We describe the first case of cervico-thoracic diastematomyelia and diplomyelia diagnosed early in pregnancy using three-dimensional ultrasound.
References
Allen LM, Silverman RK (2000) Prenatal ultrasound evaluation of fetal diastematomyelia: two cases of type I split cord malformation. Ultrasound Obstet Gynecol 15:78–82
Pang D (1992) Split cord malformation: part II: clinical syndrome. Neurosurgery 31:481–500
Anderson NG, Jordan S, MacFarlane MR, Lovell-Smith M (1994) Diastematomyelia: diagnosis by prenatal sonography. AJR Am J Roentgenol 163:911–914
Sepulveda W, Kyle PM, Hassan J, Weiner E (1997) Prenatal diagnosis of diastematomyelia: case reports and review of the literature. Prenat Diagn 17:161–165
Li SL, Luo G, Norwitz ER, Wang C, Ouyang S, Wen HX, Xia X, Yao Y (2011) Prenatal diagnosis of diastematomyelia: a case report and review of the literature. J Clin Ultrasound 40:301–305
Turgal M, Ozyuncu O, Talim B, Yazicioglu A, Onderoglu L (2013) Congenit Anom (Kyoto) 53:163–165
Pachì A, Maggi E, Giancotti A, Forleo S, Torregrossa G, Roggini M, Bosman C (1992) Prenatal sonographic diagnosis of diastematomyelia in a diabetic woman. Prenat Diagn 12:535–539
Eleftheriades M, Grigoriadis C, Sotiriadis A, Botsis D, Konstantinidou A, Souka AP (2013) Intracranial translucency and spinal cord defects: early prenatal diagnosis of diastematomyelia. J Ultrasound Med 32:1676–1679
Kutuk MS, Ozgun MT, Tas M, Poyrazoglu HG, Yikilmaz A (2007) Prenatal diagnosis of split cord malformation by ultrasound and fetal magnetic resonance imaging: case report and review of the literature. Childs Nerv Syst 28:2169–2172
Andro C, Pecquery R, De Vries P, Forlodou P, Fenoll B (2009) Split cervical spinal cord malformation and vertebral dysgenesis. Orthop Traumatol Surg Res 95:547–550
Tonni G, Grisolia G, Sepulveda W (2013) Early prenatal diagnosis of orofacial clefts: evaluation of the retronasal triangle using a new three-dimensional reslicing technique. Fetal Diagn Ther 34:31–37
Kagan KO, Pintoffl K, Hoopmann M (2011) First-trimester ultrasound images using HDlive. Ultrasound Obstet Gynecol 38:607
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Lituania, M., Tonni, G. & Araujo Júnior, E. First trimester diagnosis of cervico-thoracic diastematomyelia and diplomyelia using three-dimensional ultrasound. Childs Nerv Syst 31, 2245–2248 (2015). https://doi.org/10.1007/s00381-015-2926-9
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DOI: https://doi.org/10.1007/s00381-015-2926-9