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Cervical cord tethering due to split cord malformation at the cervico-dorsal junction presenting with self-mutilation of the fingers

Published online by Cambridge University Press:  05 November 2002

L M Myles ,
A J W Steers  and
R Minns
L M Myles
Affiliation:
The Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1UW, Scotland.
A J W Steers
Affiliation:
The Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1UW, Scotland.
R Minns
Affiliation:
The Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1UW, Scotland.
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Abstract

An unusual case of cervical spinal cord tethering with diplomyelia is described. A 12-month old female presented with self-mutilation of the fingers due to sensory loss in the hands, absent reflexes, poor muscle tone, and reduced distal upper-limb movements. There was a deep skin dimple overlying the T1 spinous process. Imaging showed angulation of the lower cervical cord and an operation revealed a low cervical meningocele and a split cord malformation with tethering of one half of the cord; the cord was untethered. In this report the literature is reviewed.

Type
Case Reports
Information
Developmental Medicine and Child Neurology , Volume 44 , Issue 12 , December 2002 , pp. 844 - 848
Copyright
© 2002 Mac Keith Press

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