Syndrome de la moelle attachée : une cause inhabituelle de dysfonctionnement vésical de l’adulte

Anatomo-Radiological Patterns of the Tethered Spinal Cord With Lipoma

“…Antenatal diagnosis of the tethered spinal cord with lipoma can be made by ultrasound examination [9]. Spinal cord ultrasound provides the relevant information on newborns' spinal cord and on infants less than 2 months [2]. In our study, the imaging was performed on two infants and provided very accurate information on the dehiscence of the posterior arch, suggesting the low-lying cord at L5.…”

“…MRI is considered as a gold standard in the diagnosis of the tethered spinal cord. It shows the existence of intra-or extra-dural lipoma and its anatomical connections [2,13,14]. The lipoma appears at T1 sequence as a spontaneously hyperintense structure, isointense signal to the subcutaneous fat in T1 as in T2.…”

“…Spinal dysraphism is due to perturbation of the embryological development of the caudal neural tube and the surrounding tissues [2,3]. Regarding the spinal lipoma, several pathophysiological hypotheses have been presented, for example, it is a neurulation disorder, a defect of induction occurring after the phenomena of neurulation.…”

“…Its prevalence has been reported between 4.7% and 16% of all neural tube defects [1]. The epidemiological profile may be underestimated because some of them remain asymptomatic [2].…”

Tethered cord syndrome: an unusual cause of neurobladder in adult: a case report

“…This results in bladder, bowel and orthopedic disorders that may worsen. 3 The incidence of TCS is estimated to be between 0.05 and 0.25 cases per 1000 births, 4 with a widely reported female predominance. 5,6 It may be due to a primary cause; related to a too short and too thick filum terminale, an intra-spinal sacral lipoma, an occulta spina bifida or diastomatomyelia.…”