Split cord malformation Type II with twin dorsal lipomas.
Although uncommon, variations in split cord malformation (SCM) have been described. However, a combination of SCM Type II and dorsal lipomas has not been reported.   The authors describe the case of a 6-year-old girl who presented with a 1-year history of spastic paraparesis associated with a lipomatous swelling on her lower back. Radiology revealed a Type II SCM with a dorsal lipoma at that level. Intraoperatively, the authors observed a dorsal lipoma for each hemicord; these were excised, and the septum causing the split was cut.   Premature separation of the cutaneous and neural ectoderm is predetermined for each neural fold, and a split at this level would give rise to SCM with twin dorsal lipomas, one for each hemicord.
Department of Neurosurgery, Postgraduate Institute of Medical Education & Research, Chandigarh, India. drpravin_salunke@yahoo.co.uk
Pravin
P
Salunke
Sameer S
SS
Futane
Ashish
A
Aggarwal
D002648:Child; D005260:Female; D006801:Humans; D008067:Lipoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D009436:Neural Tube Defects / Q000150:complications* / Q000473:pathology; D013116:Spinal Cord / Q000002:abnormalities* / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery