Abstract
•Multiple neural tube defects is very uncommon.•High morbidity in multiple neural tube defects compared to single defects.•Association of other spinal cord and vertebral malformation with multiple neural tube defects.
Double myelomeningocele are rare pathologies, with multiple cases described in developing countries. Causative factors are multifactorial, with folate deficiency as a leading associated factor. We describe a case of double myelomeningocele in the upper thoracic and thoracolumbar spine associated with split cord malformation, with emphasis on imaging appearance of this case.
This is a full-term newborn baby boy delivered through a cesarean section due to an antenatal diagnosis of multiple myelomeningoceles in the upper thoracic and thoracolumbar spine. The baby was operated 24 h after delivery to repair the defects and insert a ventriculoperitoneal (VP) shunt for associated hydrocephalus. The baby tolerated the operation well and is being followed and managed by a multi-disciplinary team.
Antenatal screening for myelomeningocele is paramount for prompt management. Multiple myelomeningoceles are uncommon, yet their management remains similar to single myelomeningocele.