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Open AccessCase Report

Limited Dorsal Myeloschisis with and without Type I Split Cord Malformation: Report of 3 Cases and Surgical Nuances

Department of Neurosurgery, University of Health Sciences, Gulhane Education and Research Hospital, 06010 Ankara, Turkey
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Author to whom correspondence should be addressed.
Medicina 2019, 55(2), 28; https://doi.org/10.3390/medicina55020028
Received: 20 November 2018 / Revised: 21 January 2019 / Accepted: 22 January 2019 / Published: 27 January 2019
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Abstract

Limited dorsal myeloschisis (LDM) is a rare form of spina bifida which is characterized by a fibroneural stalk between the inner part of the skin and the spinal cord. It may be associated with split cord malformation (SCM). Diagnosis and management of this complex malformation is challenging. We presented 3 different cases of LDM. Two of them were associated with Type I SCM and the other had no associated malformation. All of them were evaluated radiologically just after the birth and underwent surgical treatment under intraoperative neuromonitoring. They were discharged without any complication. Newborns with spinal cystic lesions should be carefully evaluated for spinal malformations after the birth and treated surgically as soon as possible in order to prevent neurological and urological complications secondary to tethered cord syndrome. Surgical technique in LDM-SCM patients is quite different than the patients with solitary LDM. View Full-Text
Keywords: limited dorsal myeloschisis; split cord malformation; newborn; surgery limited dorsal myeloschisis; split cord malformation; newborn; surgery
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Izci, Y.; Kural, C. Limited Dorsal Myeloschisis with and without Type I Split Cord Malformation: Report of 3 Cases and Surgical Nuances. Medicina 2019, 55, 28.

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