SPLIT CORD MALFORMATION: BECOMING FIRST SYMPTOMATIC IN AN ELDERLY PATIENT AS A NECK PAIN AND SCOLIOSIS

Abstract

Split cord malformation represents a closed neural tube defect in which the spinal cord splits into two parts. The majority of cases symptoms onset during childhood Although it can occur at any level, malformation is more commonly detected in lower thoracic and upper lumbar regions. The case reported herein is unique; in contrast to other split cord malformation patients our case was diagnosed in adulthood, with the condition manifesting at the level of the cervical vertebrae, and with no neurological deficit and concomitant neurocutaneous symptoms vertical bar; but the vertebral anomalies such as scoliosis, hemivertebra and vertebral fusion existing all together. We emphasize the need to consider split cord malformation in the differential diagnosis of elderly patients presenting with neck pain and scoliosis and also we mention that conservative treatment should be preferred in patients without progressive neurologic deficit.