PMC3551503_01
Two distinct swellings, one occipital encephalocele and other dorsal meningomyelocele
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F1
A 5-month-old female patient, first child of healthy parents, presented with two cystic swellings since birth, one in the suboccipital area and the other in the mid-thoracic region [Figure 1].
T2-weighted sagittal MR image shows occipital encephalocele and dorsal meningomyelocele with low lying tethered cord (arrow) and syrinx (star)
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F2
Syrinx was present in the cord proximal to the site of defect [Figure 2].
T2-weighted axial MR image shows two hemicords in single dural tube without bony, cartilaginous or fibrous spur - Pang type 2 split cord malformation (intervening CSF marked with an arrow)
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F3
Axial T2- and T1-weighted MR images revealed a longitudinally split lower thoracic spinal cord with one dural tube and CSF intervening between the two hemicords [Figure 3].