Diastematomyelia is a rare malformation characterized by complete or i
ncomplete division of the spinal cord by osseous or fibrocartilaginous
septum. Most cases are seen in association with other anomalies of th
e vertebral column such as spina bifida, kyphoscoliosis, butterfly ver
tebra, and hemivertebra. In this report we describe two cases of isola
ted diastematomyelia detected at routine second-trimester detailed ult
rasound scan, the most striking feature being the detection of an echo
genic focus in the posterior aspect of the spine in association with w
idening of the interpedicular vertebral space. The prenatal literature
is reviewed to assess the clinical significance of this finding. (C)
1997 by John Wiley & Sons, Ltd.