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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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European Journal of Physical and Rehabilitation Medicine 2017 May 23

DOI: 10.23736/S1973-9087.17.04709-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Diastematomyelia and late onset presentation: a case report of a 72-year-old woman

Hanne MAEBE, Annick VIAENE, Martine DE MUYNCK

Department of Physical Medicine and Rehabilitation, University Hospital Ghent, Ghent, Belgium


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BACKGROUND: We would like to present the case of a 72-year-old woman, in whom diastematomyelia was surprisingly discovered when looking for an explanation for her neurological and urological complaints. Diastematomyelia is a rare disease in the group of ‘spinal dysraphisms’, mostly discovered at birth and very rare at advanced age. The clinical pattern could be seen in the general presentation of ‘tethered cord’ and there are 2 types of presentation with a different treatment.
CASE REPORT: In our case report the two dominant complaints were pain in the right foot and sphincter problems. Further investigations ultimately revealed diastematomyelia. Surgical resection of the septum was one of the possibilities, but because of the limited clinical impact, a conservative treatment was followed.
CLINICAL REHABILITATION IMPACT: In conclusion this case shows that even at advanced age diastematomyelia can be first discovered, so attention to this rare disease stays important.


KEY WORDS: Diastematomyelia - Split spinal cord malformation - Late onset - Case report

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Maebe H, Viaene A, De Muynck M. Diastematomyelia and late onset presentation: a case report of a 72-year-old woman. Eur J Phys Rehabil Med 2017 May 23. DOI: 10.23736/S1973-9087.17.04709-8 

Corresponding author e-mail

hanne.maebe@uzgent.be