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Split cord malformation concomitant with spinal teratoma without open spinal dysraphism

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Abstract

Purpose

Split cord malformation (SCM) presenting concomitant with spinal teratoma without any open spinal dysraphism has rarely been reported in the literature. We aimed to make a systematic review and qualitative analysis of the literature about the topic and present the first case of SCM concomitant with spinal teratoma harboring papillary thyroid carcinoma (PTC) component.

Methods

Two big search tools (Pubmed/MEDLINE) and Scopus were used. The search strategy was compatible to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). An exemplary case of ours was also presented.

Results

There were 30 patients (15 pediatric and 15 adult). Female and male distribution was even. Median age of the patients was 18 years (range = 0–66 years). The most common presenting symptoms were back pain and lower limb weakness. Spinal teratoma and SCM mostly presented at thoracic/thoracolumbar region in children and lumbar region in adults. Surgical outcome was better in the children compared to the adults.

Conclusion

Thoracolumbar region is the most common location for such entity in children, whereas lumbar region for the adults. Surgical resection should be done as much as possible under neuromonitorization. The resected material should be evaluated thoroughly not to miss any malign pathology. Surgical outcome is better when it is done at an early age.

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Authors and Affiliations

  1. FSM Training and Research Hospital, Neurosurgery Clinic, Istanbul, Turkey

    Jülide Hazneci, Feryal Bastacı, Ali Börekci, Özden Çağlar Öztürk, Murat Şakir Ekşi & Erhan Çelikoğlu

  2. Private Practice, Neurosurgery, Istanbul, Turkey

    Merih İş

  3. FSM Training and Research Hospital, Pathology Clinic, Istanbul, Turkey

    Adnan Somay

  4. School of Medicine, Neurosurgery Research Laboratory, Yeditepe University, Istanbul, Turkey

    Murat Şakir Ekşi

  5. Istanbul, Turkey

    Murat Şakir Ekşi

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  1. Jülide Hazneci
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Correspondence to Murat Şakir Ekşi.

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Hazneci, J., Bastacı, F., Börekci, A. et al. Split cord malformation concomitant with spinal teratoma without open spinal dysraphism. Childs Nerv Syst 38, 1977–1986 (2022). https://doi.org/10.1007/s00381-022-05578-5

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  • DOI: https://doi.org/10.1007/s00381-022-05578-5

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