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Cloacal extrophy and suspected spinal dysraphism in 4-month-old

This 4-month-old patient presented with cloacal extrophy and suspected spinal dysraphism. An MRI was performed to define the anatomy. Coronal T1 images of the spine (A, B) shows a large defect of the spinal canal extending laterally to the right with the distal cord and roots extending through the defect. Axial T2-weighted image (C) shows that the distal cord and conus are extending horizontally outside the canal into the large, CSF-filled meningocele and are tethered. (Contributed by Dr. Diana Gomez-Hassan.)

Associated Disorders

  • Chiari II malformation
  • Hydrocephalus
  • Hydromyelia
  • Infantile brainstem syndrome
  • Syrinx
  • Tethered spinal cord