<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2021000200287</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diagnóstico de diastematomielia asociada a médula anclada en un paciente adulto. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Diagnosis of diastematomyelia associated with tethered cord in an adult patient. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valladares Valle]]></surname>
<given-names><![CDATA[Masleidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Leonard]]></surname>
<given-names><![CDATA[Juan Ibrahim]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Pino]]></surname>
<given-names><![CDATA[Martha Yudey]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>2</numero>
<fpage>287</fpage>
<lpage>291</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2021000200287&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2021000200287&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2021000200287&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La diastematomielia es una división del cordón medular, en una longitud variable, por un tabique extradural óseo, fibroso o condroide. Esta forma de disrafia está asociada con otras malformaciones raquimedulares. Se reporta el caso de una paciente de 29 años con historia de dos años de evolución de lumbalgia medial progresiva con irradiación a ambas extremidades inferiores, atendida en el Servicio de Neurología del Hospital General Universitario Dr. Gustavo Aldereguía Lima, de Cienfuegos. Al examen físico, presentaba paraparesia flácida, amiotrofia del miembro inferior izquierdo e hipoestesia táctil y dolorosa en miembros inferiores. La resonancia magnética nuclear y la tomografía axial computadorizada mostraron diastometomielia asociada a médula anclada. Por ser una alteración de disrafia infrecuente que puede presentarse en cualquier grupo etario y puede asociarse a médula anclada con otras disrafias espinales, se decidió la presentación del caso. De lo que se puede deducir que ante un paciente joven con dolor lumbar y déficit motriz progresivo podemos estar ante un caso de diastematomielia, médula anclada o ambas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Diastematomyelia is a division of the medullar cord, in a variable length, by a bony, fibrous or extradural bone septum. This form of dysraphia is associated with other spinal malformations. The case of a 29-years-old patient with a two-year history of progressive medial low back pain with irradiation to both lower extremities, treated at the Neurology Service of the Dr. Gustavo Aldereguía Lima University General Hospital, in Cienfuegos, is reported. On physical examination, she presented flaccid paraparesis, amyotrophy of the left lower limb, and painful tactile hypoesthesia in the lower limbs. Nuclear magnetic resonance and computerized axial tomography showed diastematomyelia associated with tethered cord. As it is an uncommon Dysraphia disorder that can occur in any age group and can be associated with tethered cord with other spinal dysraphias, the presentation of the case was decided. It is assumed that in a young patient with low back pain and progressive motor deficit we may be dealing with a case of diastematomyelia, tethered cord or both.]]></p></abstract>
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<kwd lng="es"><![CDATA[defectos del tubo neural]]></kwd>
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</article-meta>
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