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Case of the Month

February 2006

Patient Data: Newborn female

Clinical Info: Bilateral paralysis of the lower extremities


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Longitudinal image of an abnormal ending spinal cord (conus) in an abnormal position and a short cauda. There is also an abnormal aspect of the sacrum.


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Detail of the conus (arrow) with a blunt distal end in a slightly dorsal position (longitudinal view).


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Detail of the short cauda (longitudinal view).


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Longitudinal view of the normal distal spinal cord (arrows) and cauda for comparison.


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Longitudinal view of the abnormal distal spinal cord (arrow).


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AP X ray of the lumbar spine and pelvis showing an abnormal development of the lower lumbar spine and sacral bones and an under developed narrow pelvis.


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Lateral X ray of the lumbar spine showing an abnormal development of the lower lumbar spine and sacral bones.

Diagnosis: Caudal regression syndrome.
The mother of the child was a diabetic. Her diabetes was difficult to regulate during her pregnancy. Caudal regression syndrome is seen more often in cases of diabetes.

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