{"id":"8bf60cc4-0f16-4bbc-8028-8b03713ab0ed","slug":"a-rare-case-of-giant-multiseptated-thoracic-myelomeningocele-with-segmental-placode-commentary","title":"A rare case of giant multiseptated thoracic myelomeningocele with segmental placode: Commentary","authors":["Pierre-Aurelien Beuriat","Alexandru Szathmari","Federico Di Rocco","Carmine Mottolese"],"abstract":"Background: The article discusses a rare case of thoracic spinal dysraphism presented by Patnaik and Mahapatra, highlighting the unusual absence of neurological and urologic deterioration in the child. The authors describe the imaging findings, which include a multiloculated swelling linked to the spinal cord via a fibroneural stalk. Summary: The commentary suggests that the case may represent a form of spinal dysraphism known as limited dorsal myeloschisis (LDM) rather than a true myelomeningocele. It emphasizes the importance of distinguishing between LDM and myelomeningocele due to their differing natural histories and outcomes, particularly at the thoracic level. The presence of evolutive hydrocephalus in this case adds a unique aspect not previously reported in LDM. Conclusion: The commentary underscores the complexity of spinal dysraphism classification and the clinical implications of accurately diagnosing these conditions. Proper differentiation between LDM and myelomeningocele is crucial for effective management and parental counseling. Keywords: myelomeningocele, limited dorsal myeloschisis, spinal dysraphism, hydrocephalus, neural tube defects, thoracic, MRI, fibroneural stalk","thumbnailUrl":null,"publishDate":"2016-05-13T00:00:00.000Z","doi":"10.4103/2152-7806.182390","categories":["Pediatric Neurosurgery","Commentary"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2016/05/6736/SNI-7-305.pdf"}