Adult-onset presentation of cervicothoracic split cord malformation: illustrative case

This article discusses a rare case where a 60-year-old woman was diagnosed with a split cord malformation (SCM) in her cervicothoracic spine, which is unusual for someone of her age. SCM is a condition where the spinal cord is divided. The patient initially experienced lower limb pain and weakness, leading to mobility issues and eventual urinary incontinence. She was misdiagnosed with other conditions before a neurologist identified the SCM through an MRI scan. After surgical intervention and intensive rehabilitation, the patient showed significant improvement, regaining her mobility and continence. This case highlights the importance of thorough neurological examinations to avoid delays in diagnosing rare conditions like SCM.

• 1
  Adult-onset presentation of cervicothoracic SCM is extremely rare, often leading to delayed diagnosis due to nonspecific symptoms.
• 2
  A detailed clinical history and thorough neurological examination are crucial for accurate and timely diagnosis of SCM.
• 3
  Surgical management, followed by intensive rehabilitation, can lead to significant improvement in neurological function and mobility in patients with SCM.