A Rare Case of Lumbar Region Diastematomyelia in a 25-year-old Woman With Lower Back Pain.

Autor:	Velchev V; Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BGR., Iliev B; Department of Neurosurgery, Medical University of Varna, Varna, BGR.; Clinic of Neurosurgery, University Hospital 'Saint Marina', Varna, BGR., Petrov PP; Department of Anatomy, Histology and Embryology, Medical University of Plovdiv, Plovdiv, BGR., Ilyov I; Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BGR., Penchev P; Faculty of Medicine, Medical University of Plovdiv, Plovdiv, BGR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jan 07; Vol. 16 (1), pp. e51796. Date of Electronic Publication: 2024 Jan 07 (Print Publication: 2024).
DOI:	10.7759/cureus.51796
Abstrakt:	Diastematomyelia is an infrequent congenital anomaly that anatomically presents with a longitudinal division of the spinal cord at the level of one or several sections. It is generally diagnosed and treated in children. We present a 25-year-old female patient who has entered the Neurosurgery clinic after a traumatic experience with severe low back pain evaluated with 7 points on the visual analog scale (VAS). Magnetic resonance imaging (MRI) of the lumbar area discovered evidence for diastematomyelia type 1 at levels L3-L5 with deformations in L4 and L5 vertebrae and mild scoliosis. Because of the lack of neurological deficiency, the patient's treatment was conservative and included a 10-day intake of nonsteroid anti-inflammatory drugs (NSAIDs) in combination with myorelaxant and physiotherapy. On the 15 th day, the patient was evaluated with 2 points on VAS. Neurological follow-up examinations were conducted on the third and the sixth month and the patient was evaluated with VAS 1, which proves that conservative treatment is successful for diastematomyelia in adults without neurological deficiency. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Velchev et al.)
Databáze:	MEDLINE
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