Türk Nöroşirürji Dergisi 2004 , Vol 14 , Num 3
Split Cord Malformation Accompanying Meningomyelocele (Complex Spina Bifida): 2 Abortus Cases
Hasan MİRZAİ1, Mehmet SELÇUKİ1, Peyker TÜRKDOĞAN2, Cüneyt TEMİZ1, Muzaffer SANCI3
1Celal Bayar Üniversitesi Tıp Fakültesi Nöroşirürji Anabilim Dalı, Manisa
2Celal Bayar Üniversitesi Tıp Fakültesi Patoloji Anabilim Dalı, Manisa
3SSK Tepecik Kadın Hastalıkları ve Doğum Hastanesi, İzmir
OBJECTIVE: Meningomyelocele, a central nervous system anomaly, is a closure defect including the medulla spinalis. Split cord malformation is another congenital anomaly of the central nervous system and can accompany this pathology causing severe neurological dysfunction. Split cord malformation leads to tethered cord syndrome in the following periods. This entity can be confused with retethering that can be encountered after the repair of meningomyelocele.

CASES: Two cases with split cord malformation accompanying memingomyelocele are presented and the possibility of the coexistence of these two entities is discussed.

CONCLUSION: The coexistence of split cord malformation and meningomyelocele is not a rare entity. Adequate radiological examinations of the spinal canal should be performed in this respect before repairing a meningomyelocele. Anahtar Kelimeler : Complex spina bifida, magnetic resonance imaging, myelomeningocele, split cord malformation