Tight filum terminale syndrome in children: analysis based on positioning of the conus and absence or presence of lumbosacral lipoma

Bao, Nan; Chen, Zhihua; Gu, Shen; Chen, Qimin; Jin, Hang; Shi, Cheng-ren

doi:10.1007/s00381-007-0376-8

Cited by 33 publications

(20 citation statements)

References 16 publications

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“…These are similar to those reported by Yong et al [1]. Bao et al [16] and Komagata et al [17] also found that bladder/bowel dysfunction was the most common presenting symptom and that the majority of patients improved with filum terminale sectioning. Improvement of bladder/bowel dysfunction (84%) and neuroorthopedic abnormalities (92.3%) were similar to other reports.…”

Section: Discussionsupporting

confidence: 80%

Retethering in Children after Sectioning of the Filum Terminale

Vassilyadi¹,

Tataryn²,

Merziotis³

2012

Pediatr Neurosurg

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Background/Aim: Sectioning of the filum terminale is performed when spinal cord tethering is suspected, sometimes without clinical symptoms. Retethering can occur and require reoperation due to the presentation of either recurrent or new symptoms. The purpose of this institutional review was to identify the retethering rate in children, especially in those who were initially asymptomatic, and to discuss the role of surgery. Methods: The medical records of all children at the Children's Hospital of Eastern Ontario (CHEO) who underwent tethered cord surgery between 1978 and 2009 for a thickened filum terminale were retrospectively reviewed, as well as those who retethered. Results: A total of 146 patients with a mean age of 4.3 years underwent a low lumbar single or partial laminectomy for sectioning of the filum terminale; 44 patients (30.1%) were asymptomatic at the time of surgery, 51.4% had bladder and bowel dysfunction, 26.7% had neuroorthopedic findings, 15.8% had pain and 6.2% had progressive scoliosis; 11 children with a median age of 8.9 years had symptoms of retethering requiring reoperation (median time to retether was 4.3 years) and 4 were initially asymptomatic. Repeat surgery was successful at alleviating the new symptoms that occurred as a result of retethering. Conclusions: Of the 146 patients at CHEO who underwent surgery, 7.5% retethered, with 36% being initially asymptomatic. Those operated in the first year of life were not found to be at a higher risk. The level of the conus medullaris did not influence the rate or retethering or urological dysfunction. Children who were initially asymptomatic improved after surgery for retethering, but may not have required surgery in the first place.

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Section: Discussionsupporting

confidence: 80%

Retethering in Children after Sectioning of the Filum Terminale

Vassilyadi¹,

Tataryn²,

Merziotis³

2012

Pediatr Neurosurg

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“…20,22,24 Principal symptoms and signs of TCS are urinary dysfunction, low-back pain, leg pain or sensory disturbance, and spinal stiffness. 1,[9][10][11]27 Our new method of prone MRI is simple and noninvasive. Therefore, when a patient has clinical symptoms or signs of OTCS, this method should be considered and may be helpful in diagnosis or surgical indication.…”

Section: Discussionmentioning

confidence: 99%

Use of prone position magnetic resonance imaging for detecting the terminal filum in patients with occult tethered cord syndrome

Nakanishi¹,

Tanaka²,

Kamei³

et al. 2013

SPI

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“…Lipoma of the filum terminale is secondary to excessive fat infiltration of the filum terminale. Thus, a thick and hyperechoic filum terminale compared with cauda equina is suggestive of lipoma of the filum terminale (Figure B) . Lipomas of the filum terminale have a good prognosis in most cases, but surgery can be considered.…”

Section: Item 4: Look For Closed Spinal Cord Malformationsmentioning

confidence: 99%

How to Explore Fetal Sacral Agenesis Without Open Dysraphism: Key Prenatal Imaging and Clinical Implications

Mottet

Chaussy

Auber

et al. 2018

J of Ultrasound Medicine

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The estimated prevalence of fetal caudal dysgenesis is 1 per 100,000 births. The functional prognosis of sacral agenesis is dominated by the large spectrum of associated caudal malformations. Except for cases associated with hydrocephalus secondary to open spinal dysraphism or chromosomal anomalies, association with mental deficiency is rare. We propose a systematic prenatal approach to cases of fetal sacral agenesis based on 9 etiologic items: clinical context, type of sacral dysgenesis, associated spinal cord malformations, mobility of lower limbs, investigation of the presacral region, analysis of the gastrointestinal tract, analysis of the genitourinary tract, associated vertebral defects, and cytogenetic analysis.

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Tight filum terminale syndrome in children: analysis based on positioning of the conus and absence or presence of lumbosacral lipoma

Cited by 33 publications

References 16 publications

Retethering in Children after Sectioning of the Filum Terminale

Retethering in Children after Sectioning of the Filum Terminale

Use of prone position magnetic resonance imaging for detecting the terminal filum in patients with occult tethered cord syndrome

How to Explore Fetal Sacral Agenesis Without Open Dysraphism: Key Prenatal Imaging and Clinical Implications

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