title: Split cord malformation combined with tethered cord syndrome in an adult.
abstract: Split cord malformations (SCMs) usually present in childhood, and are rarely reported in adults. And also, a cervicothoracic SCM associated with tethered cord syndrome has very rarely been reported in the literature. We report a case of SCM associated with tethered cord and spina bifida in an adult. This report describes the case of a 34-year-old woman who presented for evaluation of neck pain, back pain, and intermittent paraparesis of several months duration. The MRI and CT showed a SCM at the cervicothoracic level and a fibrous septum at the thoracic level. She underwent surgery for the SCM and tethered cord syndrome, and was followed for 7 years. Patient presented complete recovery in the follow-up. The authors discuss this unusual lesion and describe the anatomical relationship of the level of cord duplication and fibrous septum.
authors.affiliation: Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
authors.forename: Young Deok
authors.initials: YD
authors.lastname: Kim
authors.forename: Ji Hoon
authors.initials: JH
authors.lastname: Sung
authors.forename: Jae Taek
authors.initials: JT
authors.lastname: Hong
authors.forename: Sang Won
authors.initials: SW
authors.lastname: Lee
keywords: Adult; Split cord malformation; Tethered cord syndrome