Bifid cord, also called split spinal cord syndrome, means diastematomyelia and split spinal cord. While it is usually a single organ lying in the canal in the middle of the spinal bone, the spinal cord is divided into two by a bone structure or a hard membrane. This anomaly is not visible from the outside because it is covered with normal skin; It is only revealed as a result of very detailed radiological examinations. Although some findings revealed during the nervous system examination of a child or baby may lead to suspicion of such a condition, this anomaly is usually diagnosed at a later age by sudden paralysis that may occur during some heavy exercises or during birth. When such a situation is detected, the patient must be operated on by an experienced neurosurgeon as soon as possible. Of course, today, this procedure is performed while the functions of the spinal cord are monitored during surgery, that is, under neuromonitoring.
The condition called Tense Spinal Cord Syndrome or Thick Filum Terminale is another of the congenital spine anomalies. As the name suggests, the spinal cord that carries the nerves to the legs is tense. So why is this spinal cord stretching, who is stretching it? Of course, this has nothing to do with tension or stress. It is not possible for a normal spinal cord to be stretched later. In fact, this is a congenital anomaly. In other words, some babies' spinal cords are stuck to the environment at their lowest end. The baby's bones grow much faster than the nervous system tissue and as a result; As the child grows up, the spinal cord, which consists of nerve tissue, remains much shorter than the spinal canal, which consists of bones. Sometimes, during infancy, the lowest part of the spinal cord may be attached to the bone structures in that area, that is, "tethered"; Most of the time, in these cases, the filum terminale, which is the lowest part of the spinal cord, is thick because there is a lot of fatty tissue in it. As these children grow, the spinal cord becomes tense and many symptoms occur, from leaking to bed at night to paralysis. This diagnosis, which is sometimes made in childhood, can sometimes reach adulthood when it is overlooked. When these patients are diagnosed, this adhesion must be removed as soon as possible by experienced pediatric neurosurgeons or the filum terminale, which forms the lower end of the spinal cord, must be cut. is. Of course, today this procedure is performed under neuromonitoring.
Meningocele is a bulge on the skin in the form of a sac caused by the cerebrospinal fluid, that is, CSF, in the membranes covering the spinal cord, as a result of the openness of the back of the bones in the spine, that is, as doctors call it, spina bifida. is the given name. Sometimes, when there are neural structures within this swelling, doctors call this condition memingomyelocele. This condition is one of the congenital spine anomalies and is detected in the womb or as soon as the baby is born. Usually, the swelling is covered with normal skin, but when such a situation is detected, the patient must be examined in detail by an experienced neurosurgeon. Because there may be some more serious anomalies accompanying this situation. If the bulge is not covered with normal skin, that is, if the sac has burst and the cerebrospinal fluid-CSF is flowing out, or if there is a thin sac that is about to burst; The baby may need surgery.
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