45 year-old with longstanding bowel and bladder incontinence

T2 sagittal and axial                                                                                                                                                         

T2 Coronal


Split cord with a single thecal sac.
Low lying spinal cord at L3-4
Abnormal sacral morphology
Widened lower lumbar spine thecal sac with absent posterior elements.


Diastematomyelia type 1, type 2


Diastematomyelia type 1


Diastematomyelia type 1 is associated with  sacral anomalies and a low lying and likely tethered spinal cord.  This patient is status post prior lumbar spine surgery

Submitted by Jeff Pugsley, MD, UW Radiology  Resident

Return to UW Neuroradiology Teaching Files