{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T12:47:45Z","timestamp":1765370865227,"version":"3.46.0"},"reference-count":23,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Neurol"],"abstract":"<jats:p>&lt;p&gt;Introduction: Diastematomyelia is an uncommon congenital spinal cord abnormality, which is classically found in females and children. It involves the splitting of the spinal cord, either by a bony spur or by a fibrous septum. Diagnosis is usually made by using radiological investigations such as MRI and CT scans. Case Presentation: In this case report, we present a rare case of an adult presenting with symptoms of lower back pain, urinary incontinence, and decreased sensation in the perineum secondary to diastematomyelia. MRI was used for diagnosis and a lower thoracic spinal cord malformation was noted. She failed conservative treatment and was referred for surgery. A large Tarlov cyst was also noted upon operation. She tolerated the operation well and had good motor-evoked potentials after the surgery. Moreover, she also reported resolution of bladder function at 3-month follow-up. Conclusion: Thus, diastematomyelia can also present in an adult. While conservative treatment can provide relief in mild cases, surgery provides a definitive solution. &lt;\/p&gt;<\/jats:p>","DOI":"10.1159\/000548422","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:12:10Z","timestamp":1765357930000},"page":"134-141","source":"Crossref","is-referenced-by-count":0,"title":["Type 1 Diastematomyelia Presenting in Adulthood: A Case Report of an Atypical Presentation"],"prefix":"10.1159","volume":"17","author":[{"given":"Faizan","family":"Shahzad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Shehzad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Humna","family":"Younis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dawood","family":"Shehzad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Farhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saad","family":"Hulou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.12621"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.23880\/nnoaj-16000163"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2020.105733"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.51796"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.3171\/ped.2005.103.6.0531"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.5958\/2454-2660.2020.00029.0"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2019.06.025"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_904_21"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.26081"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.1994.9.2.135"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s43032-023-01307-8"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1038\/s41394-018-0141-0"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1177\/088307389701200205"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2003.08.028"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318283f6bc"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.981069"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1002\/uog.4066"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-013-2115-7"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.50836"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.12680\/balneo.2017.156"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-021-05382-7"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2018.03.029"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.50938"}],"container-title":["Case Reports in Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000548422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:12:14Z","timestamp":1765357934000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000548422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,15]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000548422","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.30118930","asserted-by":"subject"}]},"ISSN":["1662-680X"],"issn-type":[{"value":"1662-680X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,15]]}}}