Tethered Cord Syndrome in Children – Report of Two Cases

Duma, Filip; Bojadzieva, Sonja; Sofijanova, Aspazija; Stamatova, Ana; Andonovski, Angelcho; Jordanova, Olivera

doi:10.1515/mmr-2017-0024

Cited by 3 publications

(6 citation statements)

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“…MRI also may visualize the cause of tethering. Although not widely used, MSCT may also be used to identify TCS [3,6]. In our case, we could not perform MRI due to our hospital limitation of imaging modality.…”

Section: Competing Of Interestmentioning

confidence: 94%

“…Ultrasound is the simplest modality and is considered the first-line imaging modality to screen TCS. However, ultrasound results are often operator-dependent [6].…”

Section: Competing Of Interestmentioning

confidence: 99%

“…In the pediatric and asymptomatic case, TCS may be suspected if there is an occult spinal dysraphism. Other signs and symptoms include motor weakness, numbness, discrepancy of lower extremities, foot deformity (club feet, pes cavus), scoliosis, back and leg pain, urinary incontinence, recurrent urinary infection, and hydronephrosis due to the neurogenic bladder [2,3,5] although, in many pediatric patients, symptoms often only manifest as irritability [6].…”

Section: Introductionmentioning

confidence: 99%

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Tethered Cord Syndrome in Patient with Lipomyelomeningocele: A Case Study

Dewi

Sriwidyani

Seputra³

2022

Indonesian Journal of Cancer

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Introduction: Tethered Cord Syndrome (TCS) is a condition that occurs due to spinal cord traction caused by the attachment of the spinal cord to the surrounding tissues. The incidence of TCS is quite rare, approximately 0.25 per 1,000 live births Case Presentation: We reported a 4-year-old female patient with a lump on her sacral region since birth which enlarged over time. The patient experienced intermittent fever for 1 month before hospital admission and constipation since infancy. Physical examination revealed a lump with a diameter of 6 cm on her sacral region with no neurological abnormality. Ultrasonography examination showed an anechoic lesion with multiple linear structures on supragluteal sinistra with a size of 2.2 x 2.5 x 2.1 cm. MSCT findings showed spina bifida at L5 until S2 level with features of lipomyelomeningocele and tethered cord started from L2 level. Bilateral hydronephrosis, hydroureter, and distended bladder (pine tree appearance) with the possibility of the neurogenic bladder were also found on MSCT examination. The patient underwent surgery to excise the lump and to release the tethered cord. Microscopic findings from excised mass showed a group of neuronal and glial cells, the syncytial sheet pattern of meningothelial cells, and foci of calcification which supported lipomyelomeningocele diagnosis. Conclusions: : Intensive follow-up care and observation must be carried out in children with spinal dysraphism because it may be associated with TCS which may be asymptomatic at an early stage.

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Section: Competing Of Interestmentioning

confidence: 94%

“…Ultrasound is the simplest modality and is considered the first-line imaging modality to screen TCS. However, ultrasound results are often operator-dependent [6].…”

Section: Competing Of Interestmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tethered Cord Syndrome in Patient with Lipomyelomeningocele: A Case Study

Dewi

Sriwidyani

Seputra³

2022

Indonesian Journal of Cancer

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“…There should always be a high index of suspicion for tethered cord syndrome to order radiological assessment as it will guide diagnosis and treatment [4]. Other imaging modalities may include ultrasonography, although its usefulness is dependent upon operator experience and the position of the fetus [5][6][7]. The gold standard for diagnosis is MRI of the spine [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Other imaging modalities may include ultrasonography, although its usefulness is dependent upon operator experience and the position of the fetus [5][6][7]. The gold standard for diagnosis is MRI of the spine [6,7].…”

Section: Introductionmentioning

confidence: 99%

Tethered Cord Syndrome Associated With Lumbar Lipomyelomeningocele: A Case Report

Harazeen¹,

Thottempudi²,

Sonstein³

et al. 2022

Cureus

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The objective is to describe a rare case of lumbar lipomyelomeningocele presenting as progressive urinary incontinence. Lipomyelomeningocele is a type of closed spinal dysraphism typically presenting as a lipomatous mass contiguous with a neural defect above the gluteal crease. Tethered cord syndrome is defined as symptoms and signs caused by excessive spinal cord tension from an abnormally low conus medullaris, with an abnormally thick filum terminale attached to the lower sacral region. A 19-year-old male with no remarkable medical history presented with low back pain and urinary incontinence for the past one year. On physical exam patient had normal motor strength, sensory testing to all modalities was intact. The rectal tone was normal, and no saddle anesthesia was noted. MRI lumbar spine revealed lumbar lipomyelomeningocele with associated tethered cord syndrome. The patient underwent tethered cord release surgery with lipoma excision. Pathology of the soft tissue showed fibrovascular tissue and mature adipose tissue consistent with lipoma. The majority of cases of tethered cord syndrome are related to spinal dysraphism, a rare pediatric syndrome. It is potentially treatable if caught early, and MRI can help with an accurate diagnosis of the condition. Older adults are more likely to present with urological and neurological complaints. Surgical un-tethering is indicated in patients with progressive symptoms. In our case, the only presenting symptom was urinary incontinence, and the neurological exam was normal other than lower lumbar paraspinal tenderness.

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A Case Report of Lumbosacral Lipomyelomeningocele with Tethered Cord Syndrome

Mewara¹,

Singh

Jain

et al. 2022

ijmsdr

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The objective is to describe a rare case of lumbosacral lipomyelomeningocele with Tethered Cord Syndrome. Tethered cord syndrome is a neurological disorder caused by tissue attachments that limit the movement of spinal cord within the spinal column. A 7 years old girl child presented with lumbosacral swelling with non healing ulcer on foot and with weakness of lower limbs since childhood. MRI scan of lumbosacral spine suggest spinal dysraphism in L3-L5 vertebrae with lipomeningomyelocele from L2 to S2 levels with tethered low lying cord .The patient underwent surgical procedure. The majority cases of tethered cord syndrome are related to spinal dysraphism.Children with spinal dysraphism, especially those with lipomyelomeningocele, who may be associated with TCS, which may be asymptomatic at an early stage, require intensive follow-up care and observation. Keyword: Spinal dysraphism, neurological disorder, TCS, lipomeningomyelocele.

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Tethered Cord Syndrome in Children – Report of Two Cases

Cited by 3 publications

References 0 publications

Tethered Cord Syndrome in Patient with Lipomyelomeningocele: A Case Study

Tethered Cord Syndrome in Patient with Lipomyelomeningocele: A Case Study

Tethered Cord Syndrome Associated With Lumbar Lipomyelomeningocele: A Case Report

A Case Report of Lumbosacral Lipomyelomeningocele with Tethered Cord Syndrome

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