A RARE CASE OF LUMBOCOSTOVERTEBRAL SYNDROME WITH SPINAL DYSRAPHISM AND TETHERED CORD

This is a rare case report of a 5-month-old child with a complex spinal dysraphic state, and an accessory limb (tripedus morphology), accessory genitalia, and anal dimple. The child was brought to the hospital with an accessory limb arising from the back. On clinical examination, an accessory limb arising from the lower back with a partially developed foot with the presence of toes and nails was noted. Spinal MRI was advised which revealed dysraphic features including spina bifida with the low lying and posteriorly tethered cord with diastematomyelia along with a supernumerary appendage attached to the vertebral column having rudimentary bones resembling those of extremities. The presence of an accessory limb with spinal dysraphism is quite a rare anomaly. The condition can be treated by surgical intervention and involves excision of the accessory limb with adequate dural and paraspinal muscle cover.

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SPINAL DYSRAPHISM PRESENTED AS LUMBAR ECTOPIC BREAST: A RARE CASE

10.36106/ijsr/9817393 ◽

2021 ◽

pp. 7-8

Author(s):

Deepak Lohia ◽

B L Bairwa ◽

Mudit Mehrotra ◽

Suresh Kumar Choudhary ◽

Ankit S Prajapati ◽

...

Keyword(s):

Rare Case ◽

Breast Tissue ◽

Spinal Dysraphism ◽

Tethered Cord ◽

Congenital Disorder ◽

Incomplete Fusion ◽

Neural Element ◽

Rare Presentation ◽

Mesenchymal Tissue ◽

Ectopic Breast

Ectopic breast is a congenital disorder where abnormal additional breast tissue is found. Synonyms are known as supplementary breast polymastia and mammae erraticae. It is a embryological disorder and can present anywhere along the milk line with majority are located in axilla. Presence of additional nipple is known as polythelia. Spinal dysraphism is a congenital disorder where incomplete fusion of mesenchymal tissue bone or neural element of spine. We report a case of spina bida L2-S1 with tethered cord with additional breast with two nipples in a 12 year old girl .Patient does not have symptoms except accessory breast. This is a very rare presentation of spinal dysraphism and this third reported case of literature as per our knowledge.

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A rare case of thoracic myelocystocele associated with type 1 split cord malformation with low lying tethered cord, dorsal syrinx and sacral agenesis: Pentad finding

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.143209 ◽

2015 ◽

Vol 6 (01) ◽

pp. 087-090 ◽

Cited By ~ 1

Author(s):

Dipanker Singh Mankotia ◽

Guru Dutta Satyarthee ◽

Bhawani Shankar Sharma

Keyword(s):

Spina Bifida ◽

Surgical Management ◽

Rare Case ◽

Clinical Presentation ◽

Spinal Dysraphism ◽

Tethered Cord ◽

Split Cord Malformation ◽

Rare Form ◽

Sacral Agenesis

ABSTRACTMyelocystocele is a rare form of spinal dysraphism. Thoracic myelocystocele is still rarer. The occurrence of thoracic myelocystocele associated with type-1 split cord malformation, low lying tethered cord, dorsal syrinx and spina bifida is extremely rare. Clinical presentation of such a rare case and an early surgical management is discussed briefly.

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Radiologic and histopathologic findings in a rare case of complex occult spinal dysraphism with association of a lumbar fibrolipoma, neurenteric cyst and tethered cord syndrome

European Radiology ◽

10.1007/s003300050448 ◽

1998 ◽

Vol 8 (4) ◽

pp. 624-627 ◽

Cited By ~ 8

Author(s):

M. Freund ◽

A. Thale ◽

A. Hutzelmann

Keyword(s):

Rare Case ◽

Spinal Dysraphism ◽

Tethered Cord ◽

Tethered Cord Syndrome ◽

Neurenteric Cyst ◽

Occult Spinal Dysraphism ◽

Histopathologic Findings

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Currarino syndrome and spinal dysraphism

Journal of Neurosurgery Pediatrics ◽

10.3171/2014.3.peds13534 ◽

2014 ◽

Vol 13 (6) ◽

pp. 685-689 ◽

Cited By ~ 19

Author(s):

Matthew J. Kole ◽

Jared S. Fridley ◽

Andrew Jea ◽

Robert J. Bollo

Keyword(s):

Imperforate Anus ◽

Congenital Anomalies ◽

Rare Case ◽

Spinal Dysraphism ◽

Tethered Cord ◽

Tethered Cord Syndrome ◽

Presacral Mass ◽

Occult Spinal Dysraphism ◽

Spinal Lipoma ◽

Currarino Syndrome

Currarino syndrome is a rare constellation of congenital anomalies characterized by the triad of sacral dysgenesis, presacral mass, and anorectal malformation. It is frequently associated with other congenital anomalies, often including occult spinal dysraphism. Mutations in the MNX1 gene are identified in the majority of cases. The authors report a rare case of Currarino syndrome in an infant with tethered cord syndrome and a dorsal lipomyelomeningocele continuous with a presacral intradural spinal lipoma, in addition to an imperforate anus and a scimitar sacrum. They review the literature to highlight patterns of occult spinal dysraphism in patients with Currarino syndrome and their relationship to tethered cord syndrome. Approximately 60% of the patients with Currarino syndrome reported in the literature have an occult spinal dysraphism. Published studies suggest that the risk of tethered cord syndrome may be higher among patients with a lipoma and lower among those with a teratoma or anterior meningocele.

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The lumbosacral angle does not reflect progressive tethered cord syndrome in children with spinal dysraphism

Child s Nervous System ◽

10.1007/s00381-010-1281-0 ◽

2010 ◽

Vol 26 (12) ◽

pp. 1757-1764 ◽

Cited By ~ 4

Author(s):

Erwin M. J. Cornips ◽

Femke G. E. M. Razenberg ◽

Lodewijk W. van Rhijn ◽

Dan L. H. M. Soudant ◽

Elisabeth P. M. van Raak ◽

...

Keyword(s):

Spinal Dysraphism ◽

Tethered Cord ◽

Tethered Cord Syndrome

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LUMBOSACRAL WILMS' TUMOR AS A COMPONENT OF IMMATURE TERATOMA ASSOCIATED WITH SPINAL DYSRAPHISM—A RARE CASE AND SHORT LITERATURE REVIEW

Fetal and Pediatric Pathology ◽

10.3109/15513810903070654 ◽

2009 ◽

Vol 28 (5) ◽

pp. 201-208 ◽

Cited By ~ 2

Author(s):

Mehar Chand Sharma ◽

Deepali Jain ◽

Chitra Sarkar ◽

Veereshwar Bhatnagar ◽

Arvind Rishi ◽

...

Keyword(s):

Literature Review ◽

Rare Case ◽

Wilms Tumor ◽

Spinal Dysraphism ◽

Immature Teratoma

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

Journal of Neurosurgery Spine ◽

10.3171/spi/2008/9/7/062 ◽

2008 ◽

Vol 9 (1) ◽

pp. 62-66 ◽

Cited By ~ 15

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.

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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

10.22541/au.160585207.78265638/v1 ◽

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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