A Rare Presentation of Diastematomyelia Type-2 with Recurrent Neuropathic Ulcers in a Young Child from Pakistan—A Case Report

Diastematomyelia is a rare congenital malformation characterized by the splitting of the spinal cord into two hemicords. Splitting normally occurs between the T9-S1 vertebral levels. We present the case of a 6-year-old female patient with diastematomyelia who presented with right foot swelling and an ulcer. The patient had a history of recurrent injuries to her right foot due to impaired sensory perception. Neurological examination revealed sensory deficits in the right lower limb, while motor function and reflexes were normal. Magnetic resonance imaging confirmed the diagnosis of diastematomyelia at the L1-L2 vertebral levels. The patient underwent debridement of the ulcer and was treated conservatively. The ulcer gradually healed, and preventive measures, such as wearing shoes and maintaining hygienic measures, were recommended to avoid future injuries. This case highlights the association of diastematomyelia with neuropathic ulcers and emphasizes the importance of early recognition and comprehensive treatment. Multidisciplinary care and preventive strategies play a vital role in managing neuropathic ulcers associated with diastematomyelia.