Adult Onset of Tethered Spinal Cord Syndrome Due to Fibrous Diastematomyelia: Case Report

Neurosurgery ◽  
1985 ◽  
Vol 16 (5) ◽  
pp. 681-685 ◽  
Author(s):  
Bahram Chehrazi ◽  
Scott Haldeman
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Tethered Spinal Cord ◽  
Rare Entity ◽  
Adult Onset ◽  
Diagnostic Difficulty ◽  
Surgical Release

Abstract Adult onset of the symptoms of tethered spinal cord is a rare entity that is occasionally associated with diastematomyelia. Only one case of fibrous diastematomyelia in an adult has been reported. The fibrous nature of this disease may present a diagnostic difficulty. A 32-year-old man with the adult onset of impairment of sacral functions with lumbar fibrous diastematomyelia is reported. Surgical release of the spinal cord was followed by improvement of the patient's function.

scholarly journals Cervical Spinal Meningeal Melanocytoma Presenting as Intracranial Superficial Siderosis

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Savitha Srirama Jayamma ◽  
Seema Sud ◽  
TBS Buxi ◽  
VS Madan ◽  
Ashish Goyal ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Excision ◽  
Cervical Region ◽  
Superficial Siderosis ◽  
Rare Entity ◽  
Meningeal Melanocytoma ◽  
Diagnostic Difficulty ◽  
Complete Surgical Excision ◽  
Patient Will ◽  
Neuroradiological Examination

Meningeal melanocytoma is a rare pigmented tumor of the leptomeningeal melanocytes. This rare entity results in diagnostic difficulty in imaging unless clinical and histopathology correlation is performed. In this case report, we describe a case of meningeal melanocytoma of the cervical region presenting with superficial siderosis. Extensive neuroradiological examination is necessary to locate the source of the bleeding in such patients. Usually, the patient will be cured by the complete surgical excision of the lesion.

scholarly journals Adult-onset cystic hygroma: A case report of rare entity

2016 ◽  
Vol 7 (1) ◽  
pp. 51 ◽  
Author(s):  
Sumit Bahl ◽  
Vandana Shah ◽  
Sonal Anchlia ◽  
Siddharth Vyas
Keyword(s):  
Case Report ◽  
Cystic Hygroma ◽  
Rare Entity ◽  
Adult Onset

scholarly journals Fracture and migration of a retained microcatheter into the cauda equina after endovascular neurointervention for dural arteriovenous fistula as a rare cause of tethered spinal cord: case report

2020 ◽  
Vol 32 (4) ◽  
pp. 607-610
Author(s):  
Gulden Demirci Otluoglu ◽  
Teyyub Hasanov ◽  
Basak Mert ◽  
Zafer Orkun Toktas ◽  
Deniz Konya ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Vascular Malformations ◽  
Cauda Equina ◽  
Definitive Treatment ◽  
Spinal Cord Infarction ◽  
Tethered Spinal Cord ◽  
And Migration

The evaluation of spinal cord vascular malformations in neuroradiology departments remains valid for both diagnosis and endovascular embolization, and for adjuvant as well as definitive treatment. The most commonly encountered complications of endovascular approaches are the recurrence or the incomplete embolization of the lesion and accidental damage to the medullary arteries, which leads to spinal cord infarction. Failure to remember a microcatheter in the abdominal aorta after catheterization is an underestimated complication. A retained guidewire in the circulation may not necessarily cause symptoms, and it may remain unnoticed for a significant period of time. However, severe complications may be faced even many years later. In this article, a case report on a fracture and migration of a retained microcatheter in the cauda equina is presented. This occurred after an endovascular neurointervention for dural arteriovenous fistula as a rare cause of tethered spinal cord.

scholarly journals Response of Scoliosis in Children with Myelomeningocele to Surgical Release of Tethered Spinal Cord

2016 ◽  
Vol 22 (4) ◽  
pp. 247-252 ◽  
Author(s):  
Haluk Altiok ◽  
Anne Riordan ◽  
Adam Graf ◽  
Joe Krzak ◽  
Sahar Hassani
Keyword(s):  
Spinal Cord ◽  
Tethered Spinal Cord ◽  
Surgical Release

scholarly journals Tethered spinal cord following repair of myelomeningocele

2004 ◽  
Vol 16 (2) ◽  
pp. 1-4 ◽  
Author(s):  
Roger J. Hudgins ◽  
C. Lynn Gilreath
Keyword(s):  
Spinal Cord ◽  
Clinical Presentation ◽  
Tethered Cord ◽  
Tethered Spinal Cord ◽  
Terminal Portion ◽  
Clinical Criteria ◽  
Orthopedic Surgeons ◽  
Clinical Presentations ◽  
Multidisciplinary Clinic ◽  
Surgical Release

Object The goal of this paper is to elucidate the clinical presentation of tethered cord syndrome (TCS) following repair of a myelomeningocele. Methods Approximately 10 to 30% of children will develop TCS following repair of a myelomeningocele. Because essentially all children with repaired myelomeningocele will have a tethered spinal cord, as demonstrated on MR imaging, the diagnosis of TCS is made based on clinical criteria. The six common clinical presentations of TCS are increased weakness (55%), worsening gait (54%), scoliosis (51%), pain (32%), orthopedic deformity (11%), and urological dysfunction (6%). The primary goal of surgery is to detach the spinal cord where it is adherent to the thecal sac, relieving the stretch on the terminal portion of the cord. Conclusions Early diagnosis and surgical release of the tethered cord results in stabilization or improvement in most cases. Because TCS may present with orthopedic and/or urological signs or symptoms, children with myelomeningocele should by followed, ideally in a multidisciplinary clinic, by neurosurgeons, orthopedic surgeons, and urologists who are aware of this condition.

Sign in / Sign up

Export Citation Format

Share Document