Widely separated composite split cord malformation

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Yayımlandı:BMJ Case Reports vol. 2012 (Sep 2025), p. bcr2012007028
Yazar: Singh, Deepak Kumar
Diğer Yazarlar: Singh, Neha, Singh, Ragini
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024 7 |a 10.1136/bcr-2012-007028  |2 doi 
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100 1 |a Singh, Deepak Kumar  |u Department of Neurosurgery, Dr. RMLIMS, Lucknow, Uttar Pradesh, India 
245 1 |a Widely separated composite split cord malformation 
260 |b BMJ Publishing Group LTD  |c Sep 2025 
513 |a Journal Article Case Study 
520 3 |a Discussion n The presence of SCMs at multiple levels is a rare occurrence; seen in less than 1% of total cases of SCMs.1 Only few case reports of such anomalies are available in the published literature.2–4 Most of these cases had two spurs at different levels and one case having two different types of spurs at three different levels.5 In most of these cases the spurs were not more than three vertebral levels apart. Emura et al10 and Klessinger reported an experimental animal model of SCM produced by surgical induction of a fistula.11 Even though the results of their study supported the hypothesis that SCMs originate from an accessory neuroenteric canal, it is difficult to explain all variations of SCMs. Conclusion n Existence of a type I malformation, immediately next to a type II lesion (composite SCM) in the same patient lends support to unified theory, but separation of these two by more than 10 vertebral levels is an extremely rare embryological event and can be explained only by the presence of another accessory neuroenteric canal, as proposed by Bremer. 
653 |a Fistula 
653 |a Spina bifida 
653 |a Case reports 
653 |a Hypotheses 
653 |a Spinal cord 
653 |a Neurosurgery 
700 1 |a Singh, Neha  |u Department of Radiodiagnosis, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India, 
700 1 |a Singh, Ragini  |u Department of Radiodiagnosis & Imaging, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India 
773 0 |t BMJ Case Reports  |g vol. 2012 (Sep 2025), p. bcr2012007028 
786 0 |d ProQuest  |t Health & Medical Collection 
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