Literature DB >> 35574581

Type 1.5 Split Cord Malformations : Bridging the Gap.

Ramesh Doddamani1, Rajesh Meena1.   

Abstract

Entities:  

Year:  2022        PMID: 35574581      PMCID: PMC9452386          DOI: 10.3340/jkns.2022.0010

Source DB:  PubMed          Journal:  J Korean Neurosurg Soc        ISSN: 1225-8245


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To the Editor, Type 1.5 split cord malformation (SCM) comprises of a unique variety of SCM, which incorporates features of both the classical SCM types described primarily by Dias and Pang [2]. Sun et al. [9], recently added two cases of type 1.5 SCM with dorsal and ventral bony spurs representing types 1.5 A and 1.5 B respectively, which we had proposed for the first time [6]. There have been 15 cases reported in the literature on this entity till date [5,6,9]. We proposed the diagnostic criteria to classify this rare entity previously, in a reply to the letter by Sarica et al. [7] challenging our classification scheme [5]. Mahapatra and Gupta [4] reported the largest single centre experience of classical SCMs involving 254 patients from our institution, however no cases of type 1.5 SCM was noted. Five of the total 15 cases reported in the literature at different time points belong to our institution, constituting one third of the total reported cases [1,3,6,8,10]. The subtypes; type 1.5 A and B, were included owing to the difficulty encountered during the removal of the ventral bony spur seen in our previous case. We used bone Cavitron Ultrasonic Aspirator, for removing the spur safely without injuring the hemicords, as working in the narrow and deep corridor between both the hemi cords was extremely challenging. Therefore, type 1.5 B remains to be a surgical challenge compared to type 1.5 A variety, which is relatively easier to be excised [5,6]. Regarding the pathogenesis, we had already discussed in detail in our previous article, various plausible embryological possibilities. This included the uneven distribution and regression, as well as the concentration of the meninx primitive cells dorsally as postulated by Chandra et al. [1]. We would like to add the report by Sarica et al. [7], which need to be acknowledged and included in the list, summing up the tally of SCM type 1.5 to 15 cases. We are glad and appreciate Sun et al, for acknowledging our proposed classification of type 1.5 SCMs. This would promote uniform nomenclature of SCMs in the neurosurgical community, thereby avoiding confusing terminologies like; intermediate, composite, mixed SCMs. Future reporting using this nomenclature would also promote further identification of these cases and augmenting the literature with more cases, thereby complementing our understanding.
  10 in total

1.  An unusual case of dorsally situated bony spur in a lumbar split cord malformation.

Authors:  P S Chandra; R Kamal; A K Mahapatra
Journal:  Pediatr Neurosurg       Date:  1999-07       Impact factor: 1.162

2.  Type 1.5 Split Cord Malformations: An Uncommon Entity.

Authors:  Rajesh Kumar Meena; Ramesh S Doddamani; Hitesh K Gurjar; Amandeep Kumar; Poodipedi S Chandra
Journal:  World Neurosurg       Date:  2019-09-23       Impact factor: 2.104

3.  Long-segment type 1 split cord malformation with two-level split cord malformation and a single dural sac at the lower split.

Authors:  Pankaj Kumar Singh; Ashutosh Khandelwal; Ajit Singh; Pankaj Ailawadhi; Deepak Gupta; A K Mahapatra
Journal:  Pediatr Neurosurg       Date:  2011-12-29       Impact factor: 1.162

4.  Split cord malformations: a clinical study of 254 patients and a proposal for a new clinical-imaging classification.

Authors:  Ashok K Mahapatra; Deepak Kumar Gupta
Journal:  J Neurosurg       Date:  2005-12       Impact factor: 5.115

5.  Split cord malformation: three unusual cases of composite split cord malformation.

Authors:  S Vaishya; P Kumarjain
Journal:  Childs Nerv Syst       Date:  2001-09       Impact factor: 1.475

Review 6.  Split cord malformations.

Authors:  M S Dias; D Pang
Journal:  Neurosurg Clin N Am       Date:  1995-04       Impact factor: 2.509

7.  A rare case of type 1 C split cord malformation with single dural sheath.

Authors:  Kanwaljeet Garg; Ashok K Mahapatra; Vivek Tandon
Journal:  Asian J Neurosurg       Date:  2015 Jul-Sep

8.  Type 1.5 Split Cord Malformation : A New Theory of Pathogenesis.

Authors:  Mengchun Sun; Benzhang Tao; Tianbao Luo; Gan Gao; Aijia Shang
Journal:  J Korean Neurosurg Soc       Date:  2021-11-22
  10 in total

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