A Case of Diastematomyelia

Eugene Constantinou, MD
JAMA. 1963;185(12):983-984. doi:10.1001/jama.1963.03060120093038.
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To the Editor:—  A case of diastematomyelia is presented because of its rarity and confusion with poliomyelitis. Diastematomyelia is a congenital anomaly in which the distal part of the spinal cord is divided into two parts.1 An early diagnosis leads to correction by surgery.A 23-year-old white female, prima gravida was admitted to the Toledo Hospital in early labor. She was known to have had polio in childhood, and in 1952 she had had reconstructive surgery of the left leg. Because of a history of poliomyelitis, general anesthesia was selected. After the delivery of a living infant, she died with embolism of the pulmonary arterial tree.At autopsy the body was seen to be that of a well-developed, well-nourished female. The left lower extremity showed marked deformity and surgical scars. The spinal cord showed reduplication at the fourth lumbar vertebra (Figure). There was a bony spur arising from the


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