{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:07:26Z","timestamp":1780412846923,"version":"3.54.1"},"reference-count":18,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,3,13]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Diastematomyelia is the asymmetric or symmetric lateral duplication of the spinal cord into two hemicords. Pang divided it into three types: type-1, type-2 and composite split cord malformation (SCM). Composite SCMs are uncommon and are defined by the coexistence of multiple types of split cord with normal cord in between. When partially bridged, they are called a horseshoe cord. We report a case of a young woman who presented with backache and was diagnosed with composite SCM with horseshoe cord and type-2 SCM with intervening normal cord. In our case, 3D-SPACE due to its superior topographical evaluation, allowed us to visualise and characterise the thin meningocoele manque bands and detect horseshoe cords, asymmetric cords and demarcate the precise extent of syrinx, which were suboptimally imaged on isolated T2 and T1WI sequences. If left untreated during surgery, bands can be the potential cause for persistent backache.<\/jats:p>","DOI":"10.1136\/bcr-2021-248615","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T12:11:33Z","timestamp":1648555893000},"page":"e248615","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Utility of 3D-T2 space MRI sequence in diagnosing a rare cause of lower backache: horseshoe cord and meningocoele manqu\u00e9 in a case of composite split cord malformation"],"prefix":"10.1136","volume":"15","author":[{"given":"Sanjay","family":"Khaladkar","sequence":"first","affiliation":[{"name":"Radiology, Dr D Y Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8801-0235","authenticated-orcid":false,"given":"Pranav","family":"Ajmera","sequence":"additional","affiliation":[{"name":"Radiology, Dr D Y Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snehal","family":"Rathi","sequence":"additional","affiliation":[{"name":"Radiology, Mahatma Gandhi Mission's Institute of Health Sciences, Navi Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,3,29]]},"reference":[{"key":"2025082701363875000_15.3.e248615.1","doi-asserted-by":"crossref","first-page":"1520","DOI":"10.1177\/0284185120903445","article-title":"Structured MRI reporting in spinal dysraphism","volume":"61","author":"Kumar","year":"2020","journal-title":"Acta radiol"},{"key":"2025082701363875000_15.3.e248615.2","unstructured":"Ollivier CP . Treatise on diseases of the spinal cord: containing the anatomical, physiological and pathological history of this nervous centre in humans. M\u00e9quignon-Marvis Father and Son, 1837."},{"key":"2025082701363875000_15.3.e248615.3","unstructured":"Moore K . Congenital Abnormalities of the Spine. In: Coley BD , ed. Caffey\u2019s Pediatric Diagnostic Imaging. Philadelphia, PA: Elsevier Saunders, 2013: 449\u201360."},{"key":"2025082701363875000_15.3.e248615.4","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199209000-00011"},{"key":"2025082701363875000_15.3.e248615.5","first-page":"1083","article-title":"Meningocele manqu\u00e9: radiologic findings with clinical correlation","volume":"13","author":"Kaffenberger","year":"1992","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082701363875000_15.3.e248615.6","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2833"},{"key":"2025082701363875000_15.3.e248615.7","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/25760339"},{"key":"2025082701363875000_15.3.e248615.8","doi-asserted-by":"crossref","DOI":"10.1159\/000339209","article-title":"Composite type of split cord malformation: rare and difficult to explain","volume":"47","author":"Izci","year":"2012","journal-title":"Pediatr Neurosurg"},{"key":"2025082701363875000_15.3.e248615.9","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2012-007028"},{"key":"2025082701363875000_15.3.e248615.10","article-title":"Split cord malformations","volume":"1","author":"Venkataramana","year":"2006","journal-title":"J Pediatr Neurosci"},{"key":"2025082701363875000_15.3.e248615.11","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s00381-001-0543-2","article-title":"Composite type of split cord malformations","volume":"3","author":"Er\u015fahin","year":"2002","journal-title":"Child\u2019s Nervous System"},{"key":"2025082701363875000_15.3.e248615.12","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1007\/s00381-002-0675-z","article-title":"Split spinal cord malformations","volume":"19","author":"Schijman","year":"2003","journal-title":"Child's Nervous System"},{"key":"2025082701363875000_15.3.e248615.13","unstructured":"James CC , Lassman LP . Spinal dysraphism: spina bifida occulta. Butterworth-Heinemann, 1972."},{"key":"2025082701363875000_15.3.e248615.14","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1007\/s00381-017-3472-4","article-title":"Meningocele manqu\u00e9: a comprehensive review of this enigmatic finding in occult spinal dysraphism","volume":"33","author":"Schmidt","year":"2017","journal-title":"Child's Nervous System"},{"key":"2025082701363875000_15.3.e248615.15","doi-asserted-by":"publisher","DOI":"10.3171\/SPI-07\/09\/315"},{"key":"2025082701363875000_15.3.e248615.16","doi-asserted-by":"crossref","first-page":"e601","DOI":"10.1016\/j.wneu.2020.01.092","article-title":"Split cord malformation: presentation, management, and surgical outcome","volume":"136","author":"Alnefaie","year":"2020","journal-title":"World Neurosurg"},{"key":"2025082701363875000_15.3.e248615.17","doi-asserted-by":"crossref","DOI":"10.4103\/0028-3886.232299","article-title":"Fetal meningocele manqu\u00e9","volume":"66","author":"Shabina Banu","year":"2018","journal-title":"Neurol India"},{"key":"2025082701363875000_15.3.e248615.18","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1080\/0268869031000153107","article-title":"Neurological presentation and long-term outcome following operative intervention in patients with meningocele manqu\u00e9","volume":"17","author":"Tubbs","year":"2003","journal-title":"Br J Neurosurg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-248615","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:36:49Z","timestamp":1756283809000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-248615"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3,29]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/bcr-2021-248615"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-248615","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}