Fig 2 - uploaded by Hakija Beculić
Content may be subject to copyright.
Source publication
Objective – We report an unusual case of split cord malformation (SCM) associated with open spinal dysraphism and other anomalies of the central nervous system. Case report – A male newborn was admitted to the Pediatric Intensive Care Unit immediately after birth by Caesarean delivery. Clinical examination and diagnostics (MRI) showed open spin...
Contexts in source publication
Context 1
... the cervical part of the spinal cord there was discrete dilatation of the central canal. There were no other spinal anomalies. Two days af- ter birth we performed microneurosurgery. General anesthesia was used. The patient was placed in the prone position with rolls under the chest and hips. In the lumbosacral area there was an MMC (40 x 35 mm) (Fig. ...
Context 2
... the sac medially un- til the fascial defect was visible. The skin and the epithelium zone were excised around the neural placode. We reconstructed the neural placode and another part of the neural tis- sue and folded them into the tube. Then we closed the pia-arachnoidea junction and the dura was closed in a watertight manner us- ing a 4/0 suture (Fig. 2). After this we made a vertical skin incision above the L3 and L4 vertebra and retracted the paraspinal muscles laterally. Carefully we made L4 laminotomy around the bone septum and exposing the dural cleft. Each hemicord had its own dural sheath. Using the dissector we detached the septum from the surrounding dura. Then we removed the ...
