{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T05:41:58Z","timestamp":1770356518741,"version":"3.49.0"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"13","license":[{"start":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T00:00:00Z","timestamp":1632700800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,27]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>A 60-year-old female presented with a 6-month history of progressive lower limb pain, weakness, and declining mobility. She was initially diagnosed as having possible hip osteoarthritis or ligamental knee injury. She was eventually seen by a neurologist, who admitted her to a tertiary hospital with new-onset upper motor neuron signs and urinary incontinence. Magnetic resonance imaging of the whole spine revealed evidence of C7\u2013T2 type 1 split cord malformation (SCM) necessitating urgent spinal surgery. She had an excellent outcome with intensive rehabilitation and returned to her premorbid level of function and mobility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The patient presented with nonspecific symptoms, which led to multiple referrals and a significant delay in her diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Clinicians should be aware of the importance of a detailed history with thorough neurological and spinal examinations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case21415","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T03:35:39Z","timestamp":1632713739000},"source":"Crossref","is-referenced-by-count":0,"title":["Adult-onset presentation of cervicothoracic split cord malformation: illustrative case"],"prefix":"10.3171","volume":"2","author":[{"given":"Huei Ti","family":"Soh","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Nepean Hospital, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Clin Neurosci","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.jocn.2018.03.029","article-title":"Surgical management of adult type 1 split cord malformation. 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