PMC7588744_01
Two myelomeningoceles on the upper thoracic spine and thoracolumbar spine can be seen, with intact membranes and no cerebrospinal fluid leakage. A scoliotic deformity can be appreciated.
gr1.jpg
PMC7588744_01_gr1.jpg
fig0005
Physical examination revealed two swellings on the back, one on the upper thoracic spine and the other on the thoracolumbar spine, no cerebrospinal fluid leakage was seen, and both membranes were intact (Fig. 1).
Levoscoliosis of the thoracic spine can be appreciated.
gr2.jpg
PMC7588744_01_gr2.jpg
fig0010
An x-ray of the entire spinal column was performed to study the scoliosis (Fig. 2).
Sagittal view of a T2-weighted MRI of the entire spine column showing the 2 myelomeningoceles at the upper thoracic and thoracolumbar spine.
gr3.jpg
PMC7588744_01_gr3.jpg
fig0015
An MRI of the entire spinal column was also performed and showed the inner structures of the 2 myelomeningoceles (Fig. 3, Fig. 4).
Thoracolumbar myelomeningocele was opened, showing a split cord malformation type 1.
gr5.jpg
PMC7588744_01_gr5.jpg
fig0025
The thoracolumbar myelomeningocele was opened, and the spinal cord was tethered to the dura, in addition to a split cord malformation with the bony septum (Fig. 5).