Leys D, Samain F, Lesoin F, Franz K, Viaud C, Petit H
Rev Neurol (Paris). 1987;143(1):63-7.
Diastematomyelia is rarely diagnosed in adulthood, and apparently 8 cases only have been reported. We report here a 59 year-old woman who recently experienced backpain with irradiations to lower limbs, mild distal weakness and sphincter disturbances. Diastematomyelia was suspected because of a history of lumbar "cutaneous malformation" operated when 4 month old, and a hairy patch over the lumbar spine. C.T. scan showed diastematomyelia and revealed a posterior spur of bone protruding into the sagittal plane from the posterior part of L3 and L4 and dividing the posterior part of the low inserted spinal cord. It appears that, when diastematomyelia has been diagnosed in adulthood, the level of the malformation was lower than when diagnosed in childhood.
脊髓纵裂在成年期很少被诊断出来,显然仅有8例报告。我们在此报告一名59岁女性,她近期出现背痛并向下肢放射,伴有轻度远端肌无力和括约肌功能障碍。由于该患者4个月大时曾接受腰椎“皮肤畸形”手术,且腰椎有毛发斑块,故怀疑为脊髓纵裂。CT扫描显示脊髓纵裂,并发现一根后突骨从L3和L4后部突入矢状面,将低位脊髓后部隔开。似乎,成年期诊断出的脊髓纵裂,其畸形水平低于儿童期诊断出的情况。