Tethered spinal cord syndrome

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Spontaneous thoracic spinal cord herniation presenting as tethered cord syndrome.

The spinal cord may be injured directly by the weapon or by indriven bony fragments. The damage to the cord may be either direct or indirect due to impaired arterial supply or venous drainage with resulting hemorrhage or edema.[1,5] The indriven fragment of the weapon may cause a foreign body granulomatous reaction[3] or may act as a micro-traumatizing agent[6] and cause delayed neurological da...

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Tethered Spinal Cord with Double Spinal Lipomas

Although lumbosacral lipoma is reported to occur in 4-8 of 100,000 patients, and 66% of lipomyelomeningoceles in young patients are accompanied by hypertrophic filum terminale, it is very rare to find two isolated spinal lipomas simultaneously. A 3 month-old baby girl was admitted to the hospital for a protruding, non-tender, soft, subcutaneous 2.5 cm mass of the lumbosacral area that had been ...

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Complications after spinal anesthesia in adult tethered cord syndrome

Since little has been reported about complications of spinal anesthesia in adult tethered cord syndrome (TCS), we sought to delineate the characteristics of the condition.A total of 4 cases of adult TCS after spinal anesthesia were reviewed. The medical charts of the patients were obtained. Anesthesia, which was combined spinal and epidural anesthesia or spinal anesthesia was performed, and fol...

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Adult intradural lipoma with tethered spinal cord syndrome.

A 48-year-old woman presented to our imaging department with lumbar sciatica. The patient had a medical history of low back pain and spina bifida. A transverse section lumbar spine CT-scan, obtained with soft-tissue window setting (Fig. A, arrow) showed, a fat-density (45-HU), oblong, posterior intradural supracentimetric lesion, at level of L5-S1. The use of bone window setting revealed a spin...

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MR imaging in the tethered spinal cord syndrome.

MR examinations of the spine were reviewed in 25 patients with a clinical diagnosis of tethered spinal cord. In 21 patients (84%), the level of the tip of the conus was below the mid L2 vertebral body. The causes of the tethering were spinal lipomas (72%), tight filum terminale syndrome (12%), diastematomyelia (8%), and myelomeningocele (8%). These entities were readily identified in all instan...

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ژورنال

عنوان ژورنال: BMJ

سال: 2007

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.39216.436713.be