45 Year-Old With Longstanding Bowel and Bladder Incontinence

This is unpublished
T2 Sagittal.
T2 Sagittal
T2 Axial.
T2 Axial
T2 Coronal.
T2 Coronal
T2 Coronal.
T2 Coronal

Findings:

Split cord with a single thecal sac. Low lying spinal cord at L3-4 Abnormal sacral morphology Widened lower lumbar spine thecal sac with absent posterior elements.

DDX:

Diastematomyelia type 1, type 2

Diagnosis:

Diastematomyelia type 1

Discussion:

Diastematomyelia type 1 is associated with sacral anomalies and a low lying and likely tethered spinal cord. This patient is status post prior lumbar spine surgery

Submitted by Jeff Pugsley, MD, UW Radiology Resident