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Cervical cord tethering due to split cord malformation at the cervico‐dorsal junction presenting with self‐mutilation of the fingers

An unusual case of cervical spinal cord tethering with diplomyelia is described. A 12‐month old female presented with self‐mutilation of the fingers due to sensory loss in the hands, absent reflexes, poor muscle tone, and reduced distal upper‐limb movements. There was a deep skin dimple overlying the T1 spinous process. Imaging showed angulation of the lower cervical cord and an operation revealed a low cervical meningocele and a split cord malformation with tethering of one half of the cord; the cord was untethered. In this report the literature is reviewed.