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45 year-old with longstanding bowel and bladder incontinence

45 year-old with longstanding bowel and bladder incontinence

T2 sagittal

axial

T2 coronal

T2 coronal


Findings:

Split cord with a single thecal sac. Low lying spinal cord at L3-4 Abnormal sacral morphology Widened lower lumbar spine thecal sac with absent posterior elements.

DDX:

Diastematomyelia type 1, type 2


Diagnosis:

Diastematomyelia type 1

Discussion:

Diastematomyelia type 1 is associated with sacral anomalies and a low lying and likely tethered spinal cord. This patient is status post prior lumbar spine surgery


Submitted by Jeff Pugsley, MD, UW Radiology Resident