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Journal of Child Neurology
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Urodynamic and Neurophysiologic Evaluation of Patients With Diastematomyelia

Milind J. Kothari, DO

Division of Neurology, Pennsylvania State University College of Medicine Hershey, PA

Stuart B. Bauer, MD

Department of Urology, Children's Hospital, Harvard Medical School Boston, MA

Diastematomyelia is a form of an occult dysraphism, which can present with lower urinary tract dysfunction. We present the findings in 21 patients with diastematomyelia evaluated at the Children's Hospital in Boston. Seventy-six percent of the patients were female. Eighty-six per cent had a cutaneous lesion present overlying the spine. Urodynamic and electrophysiologic studies showed abnormalities in 17 (81%) of 21 patients, of whom 13 (62%) had upper motor neuron dysfunction. Seventeen patients underwent corrective spinal surgery and none of the patients deteriorated on a follow-up urodynamic and electrophysiologic study. We recommend that patients with cutaneous, midline lower back lesions with or without lower urinary tract dysfunction be evaluated with a urodynamic and electrophysiologic study to characterize the extent of neurologic and urologic dysfunction. (J Child Neurol 1997; 12:97-100).

Journal of Child Neurology, Vol. 12, No. 2, 97-100 (1997)
DOI: 10.1177/088307389701200205
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