Reduction of caudal traction force using dural sac opening rather than spinal cord detethering for tethered cord syndrome caused by lipomyelomeningocele: a case report

2014 ◽  
Vol 14 (10) ◽  
pp. e1-e3 ◽  
Author(s):  
Yasuaki Murata ◽  
Kohichi Kanaya ◽  
Hiroyoshi Wada ◽  
Keiji Wada ◽  
Masahiro Shiba ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Traction Force ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
Dural Sac

scholarly journals Tethered cord syndrome with spina bifida aperta in cats: two case reports of different types

2017 ◽  
Vol 3 (1) ◽  
pp. 205511691770806 ◽  
Author(s):  
Masahiro Tamura ◽  
Takashi Oji ◽  
Satoshi Une ◽  
Makiko Mukaino ◽  
Tatsuro Bekki ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Urinary Incontinence ◽  
Spina Bifida ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
Tethered Spinal Cord ◽  
Dural Sac ◽  
Spina Bifida Aperta ◽  
Different Types ◽  
Progressive Paraparesis

Case summary Two castrated male cats, aged 8 months old (case 1) and 10 months old (case 2), showed a history of progressive paraparesis, an over-reaching pelvic limb gait, urinary incontinence and a palpable dermoid fistula. In case 1, the fistula was connected to the dural sac on the conus medullaris, and the tethered spinal cord was retracted caudally. In case 2, the tubular structure was connected to the dural sac on the thoracic spinal cord, and the tethered spinal cord was retracted dorsally. Tethered cord syndrome secondary to spina bifida aperta was suspected in both cats. Excision of the fistula and release of the tethered spinal cord was performed. A histopathological examination confirmed the diagnosis of a meningomyelocele in case 1 and a meningocele in case 2. Paraparesis improved postoperatively in both cats. However, urinary incontinence in case 1 remained partially unresolved. Relevance and novel information This is the first report to describe the imaging characteristics, surgical treatments and outcomes of two different types of tethered cord syndrome with spina bifida aperta in cats. Tethered cord syndrome with spina bifida aperta needs to be included in the differential diagnosis of slowly progressive paraparesis in younger cats with or without vesicorectal failure and a palpable dermoid fistula.

Refractory neuropathic pain in tethered cord syndrome treated with spinal cord stimulation: a case report

2009 ◽  
Vol 72 (5) ◽  
pp. 522
Author(s):  
M. Moens ◽  
A. De Smedt ◽  
J. D'Haese ◽  
J. D'Haens ◽  
C. Chaskis
Keyword(s):  
Spinal Cord ◽  
Neuropathic Pain ◽  
Case Report ◽  
Spinal Cord Stimulation ◽  
Tethered Cord ◽  
Tethered Cord Syndrome

Spine-shortening vertebral osteotomy in a patient with tethered cord syndrome and a vertebral fracture

2008 ◽  
Vol 9 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Haruo Kanno ◽  
Toshimi Aizawa ◽  
Hiroshi Ozawa ◽  
Takeshi Hoshikawa ◽  
Eiji Itoi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Fracture ◽  
Rare Case ◽  
Tethered Cord ◽  
Conus Medullaris ◽  
Tethered Cord Syndrome ◽  
Bone Union ◽  
Tethered Spinal Cord ◽  
Fracture Fragment ◽  
Loss Of Correction

The authors report a rare case of tethered cord syndrome with low-placed conus medullaris complicated by a vertebral fracture that was successfully treated by a spine-shortening vertebral osteotomy. The patient was a 57-year-old woman whose neurological condition worsened after a T-12 vertebral fracture because a fracture fragment and the associated local kyphotic deformity directly compressed the tethered spinal cord. An osteotomy of the T-12 vertebra was performed in order to correct the kyphosis, remove the fracture fragment, and reduce the tension on the spinal cord. Postoperative radiographs showed the spine to be shortened by 22 mm, and the kyphosis between T-11 and L-1 improved from 23° to 0°. Two years after the surgery, the patient's neurological symptoms were resolved. The bone union was complete with no loss of correction.

scholarly journals Reinforced conservative management of post-dural puncture headache in a patient with a rare case of tethered cord syndrome using an abdominal binder: a case report

2020 ◽  
Author(s):  
Seong-Ho Ok ◽  
Miyeong Park ◽  
Hokyung Yu ◽  
Jiyoung Park ◽  
Ju-Tae Sohn ◽  
...  
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Conservative Management ◽  
Rare Case ◽  
Dural Puncture ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
Post Dural Puncture Headache ◽  
Csf Leakage ◽  
Careful Physical Examination

Careful physical examination of the site of procedure before the caudal pain procedure should be performed because it could show the patient’s abnormal anatomical conditions. An abdominal binder could be used effectively in a patient showing CSF leakage in the coccygeal area, which is not controlled by conventional compressive dressing.

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