What is the diatestemomyelia?

Diamestematomyelia is a congenital spinal state in which bones, cartilage or fibrous tissue grow inside the backbone channel, split the spinal cord into two and then re -joined under the lesion. The condition is often progressive and may occur in conjunction with bifidal spina or other congenital spine anomalies. Most people are diagnosed with this congenital condition during visnatal ultrasound visits or a child well. The symptoms differ; They may include spinal cord tethering or fixing the spinal column with the connection of tissue that stretch the spine and results in various neurological conditions. Treatment may be surgical or conservative depending on symptoms.

The exact cause of diatestemomyelia is unknown; Scientists think that at the beginning of pregnancy embryo develops two backbone channels somewhere between the ninth thoracic and the first sacral level of the spine. Under the lesion, the backbone columns can be recharged, but not always. Diamejestratyelia may occur in conjunction with other congenital spinal cord anomalies, including spina bifidand, butterfly vertebrae, hemiverTebry or kyphoscoliosis. Girls are more often affected than boys.

diagnosis of diarytomyelia can be made during prenatal ultrasound if the technician is able to display the back of the fetus. After birth, the baby's back is routinely checked for any abnormalities. In childhood, the symptom of this condition is told by the symptom of a furry patch, thorough or other type of stigmata at the spine level. Confirmation of this condition can be done with screening MRI and postmyelographic CT scanning. Scanning provides a very detailed picture of the bone and reveals any associated pathology.

spinal cord or fixation can be responsible for neurological symptoms in diasthetomyelia. Children can develop a weakness of legs, lower back or incontinence pain. There may also be deformities of legs and spine such as scoliosis. Adults often show sensorsMotor problems, bladder and intestinal incontinence, impotence, pain and symptoms affecting the autonomic nervous system. The condition may be progressive with symptoms deteriorate throughout the patient's life.

There are two approaches to the treatment of diastematomyelia: surgery and observation. Patients with deteriorating neurological symptoms may be treated surgically. During minimally invasive microsurgery, bones or fibrous tissue are removed and dural bags are repaired. The best candidates for surgical treatment are young people who had less serious neurological symptoms for a shorter period of time. Asymptomatic or patients with stable symptoms can be treated conservatively by periodic visits to a neurologist. If symptoms develop or worsen, surgery may be required.