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Erişkinde Farklı Klinik Bulgularla Seyreden Split Kord Malformasyonu Olguları

Yıl 2019, Cilt: 2 Sayı: 3, 144 - 149, 20.12.2019
https://doi.org/10.33713/egetbd.545061

Öz

Split kord
malformasyonu omuriliğin fibröz bant, kemik ya da kıkırdak dokuyla ikiye
bölünmesiyle karakterize nadir görülen bir embriyolojik anomalidir. Genellikle
low lying konus ve tethered kord ile birlikte bulunur. Tanıda manyetik rezonans
görüntüleme ve bilgisayarlı tomografi yardımcıdır. Tanı genellikle çocukluk
döneminde konulmakla birlikte nadiren erişkin dönemde de konulabilmektedir.
Burada erişkin dönemde tanı konulan ve farklı klinik bulgular gösteren 5 split kord
malformasyonu olgusu sunulmuştur.

Kaynakça

  • KAYNAKLAR1. Tortori-Donati PT, Rossi A, Biancheri R, et al: Congenital malformations of the spine and spinal cord. InTortori-Donati PT, Rossi A, (eds): Pediatric Neuroradiology: Brain, Head, NeckandSpine, 1st ed. New York: Springer-Verlag, 2005. pp. 1587-1594.2. Dias MS, Pang D. Split kord malformations. Neurosurg Clin North Am 1995; 6: 339-358.3. Tatlı M, Güzel A, Karadağ Ö. Ayrık omurilik malformasyonları. Cumhuriyet Üniv Tıp Fak Derg 2004; 26: 97-98.4. Kardağ Ö, Aslan A, Gürelik M, Göksel HM. Ayrık omurilik malformasyonu: iki olgu sunumu. Cumhuriyet Üniv Fak Derg 2002; 24: 153-7.5. Keminker R, Fabry J, Midha R, Finkelstein JA. Split cord malformation with diastematomyelia presenting as neurogeniccladication in adult. Spine 2000; 25: 2269-71.6. Ollivier CP. Traitesdesmaladies de la moelleepiniere. 3rd ed. Paris: Mequignon Marvis, 1937:1.7. Pang D, Dias MS, Ahab-Barmada M. Split cord malformation: Part 1: A unifiedtheory of embryogenesis for double spinal cord malformations. Neurosurgery 1992; 31: 451-480.8. Pang D. Split cord malformation: Part 2: Clinical syndrome. Neurosurgery 1992; 31: 481-500.9. Reigel DH, McLone DG. Tethered spinal cord. In: Cheek WR, Marlin AE, McLone DG, Reigel DH, Walker ML (eds) Pediatric neurosurgery: surgery of the developing nervous system, 3rd edn, chap 4. Saunders, Philadelphia. 1994; pp 77-95.10. Sinha S, Agarwal D, and Mahapatra AK: Split cord malformations: an experience of 203 cases. Childs Nerv Syst 2006; 22: 3-7.11. Cheng B, Li FT, and Lin L: Diastematomyelia: a retrospective review of 138 patients. J Bone Joint Surg Br 2012; 94: 365-372.12. Shurtleff DB, Lemire RJ. Epidemiology, etiologic factorsand prenatal diagnosis of open spinal disraphysm. Neurosurg Clin North Am 1995; 6: 183-193.13. Orakdöğen M, Türk CC, Erşahin M, Biber N, Berkman Z. Spinal dysraphisms of cervicothoracic region in childhood. Turk Neurosurg 2009; 19: 400-405.14. Erman T, Göçer Aİ, Tuna M, İldan F, Çetinalp E. Gergin omurilik sendromu. Türk Nöroşirurji Dergisi 2000; 10: 211-217.15. Liu W, Zheng D, Cui S, Zhang C, Liu Y, Jia Y, Shi T, Huang H, Hei B, Wang P. Characteristics of osseous septum of splitcordmalformation in patients presenting with scoliosis: A retrospective study of 48 cases. Pediatr Neurosurg 2009; 45: 350-353.16. Huang S-L et al: Diastematomyelia: a 35-year experience. Spine 2013; 38:344-349.17. Akay KM, İzci Y, Baysefer A, Timurkaynak E. Split cord malformation in adults. Neurosurg Rev 2004; 27: 99-105.18. Anderson FM. Occult spinal dysraphism: A series of 73 cases. Pediatrics 1975; 55: 826-835.19. Iskander BJ, Mclaughlin C, Oakes WJ. Split cord malformation in myelomeningocele patients. Br J Neurosurg 2000; 14: 200-203.20. Mahapatra AK, andGupta DK: Split cord malformations: a clinical study of 254 patients and a proposal for a new clinical-imaging classification. J Neurosurg 2005; 103: 531-536.21. Warf BJ. Tethered spinal cord. In: Winn HR, editor. Youmans neurological surgery. Philadelphia: Saunders Company; 2004. p. 3257-87.22. Gery M, Rowe LJ, Yochum TR, Thompson JR, Maola CJ. Congenital anomalies and normal skeletal variants. In: Yochum TR, Rowe LJ, editors. Essentials of Skeletal Radiology. Third ed. Philadelphia: Lippincott Williams&Wilkins; 2005. p. 257-403.23. Proctor MR, Bauer SB, and Scott RM: The effect of surgery for split spinal cord malformation on neurologic and urologic function. Pediatr Neurosurg 2000; 32:13-19.24. Lersten M, Duhon B, Laker SR. Diastematomyelia as an incidental finding lumbar on magnetic resonance imaging. PMR 2017;9:95-7.25. Berger S, Hasler CC, Grant CA, Zheng G, Schumann S, Büchler P. A software program to measure the three dimension allength of the spine from radiographic images: validation and reliability assessment for adolescent idiopathic scoliosis. Comput Methods Programs Biomed. 2017;138:57-64.26. Wang T, Gu JW, Shi TJ, Li K, Wang W, Bai XJ, Zhang JH, Yang ZF, Cui SJ. Surgical management of 142 cases of split cord malformations associated with osseous divide. Neurol Neurochir Pol. 2017;51(6):459-464. 27. Anderson NG, Jordan S, MacFarlane MR. Diastometamyelia: diagnosis by prenatal sonography. Am J Roentgenol 1994; 163: 911-914.28. Bulsara KR, Zomorodi AR, Enterline DS. Thevalue of magnetic resonance imaging in the evaluation of fatty filum terminale. Neurosurg 2004; 54: 375-379.29. İzci Y, Gönül M, Gönül E. The diagnostic value of skin lesions in split cord malformations. J ClinNeurosci 2007; 14: 860-863.30. Turhan T, Erşahin Y. Ayrık omurilik malformasyonları. Türkiye Klinikleri J Neurosurg-Special Topics 2011; 4: 31-37.31. Boop FA, Chadduck WM. Repair of diastometamyelia. In: Rengachary SS, Wilkins RH (eds). Neurosurgical Operative Atlas. Vol: 3. AANS Publication Committee. Baltimore: Williams&Wilkins, 1993: 221-225.32. Klekamp J. Tetheredcord syndrome in adults. J NeurosurgSpine.2011;15:258-70. 33. 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Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular İç Hastalıkları
Bölüm Olgu Sunumu
Yazarlar

Sezin Solum 0000-0002-7792-7248

İlknur Aykurt Karlıbel 0000-0002-7854-0133

Meliha Kasapoğlu Aksoy 0000-0003-4688-0464

Yayımlanma Tarihi 20 Aralık 2019
Kabul Tarihi 2 Ağustos 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 2 Sayı: 3

Kaynak Göster

EndNote Solum S, Aykurt Karlıbel İ, Kasapoğlu Aksoy M (01 Aralık 2019) Erişkinde Farklı Klinik Bulgularla Seyreden Split Kord Malformasyonu Olguları. Ege Tıp Bilimleri Dergisi 2 3 144–149.

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