Turkish Journal of Geriatrics 2016 , Vol 19, Issue 2
SPLIT CORD MALFORMATION: BECOMING FIRST SYMPTOMATIC IN AN ELDERLY PATIENT AS A NECK PAIN AND SCOLIOSIS
Sibel SÜZEN ÖZBAYRAK1, Murat ULUDAĞ2, Mustafa ÖZBAYRAK3, Ülkü AKARIRMAK2
1HaydarpaÅŸa Numune Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Ä°STANBUL
2Ä°stanbul University, CerrahpaÅŸa Medical Faculty, Department of Physical Medicine and Rehabilitation, Ä°STANBUL
3Ä°stanbul University, CerrahpaÅŸa Medical Faculty, Department of Radiology, Ä°STANBUL
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 ocur 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|; 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. Keywords : Spinal Cord/Abnormalities; Neck Pain, Scoliosis, Cervical Vertebrae; Aged; Congenital Abnormalities