Lumbosacral lipoma is reported to occur in 4-8 of 100,000 patients. Sixty-six percent of lipomyelomeningocele in young patients have accompanied by hypertrophic filum terminale. It is rare to find two isolated spinal lipomas simultaneously. Embryological origin of dorsal and filar lipomas is different from each other and hence rarer to find them together. Radical resection is now being preferre...

Meningitis developed in 3 of 14 children with occult pneumococcaemia; in 2 of them it developed while they were being treated with low doses of intravenous penicillin, in the third child it developed at a time when he was not being treated. All children with occult pneumococcaemia should be treated with intravenous penicillin as are those with pneumococcal meningitis.

Tethered cord syndrome is a congenital disease associated with abnormal stretching of the spinal and lumbosacral roots caused by tight terminal filum. Untethering surgery performed to minimize or prevent ongoing neurological deficits in lower limbs, bladder, bowel functions. As untethering itself carries risk inducing additional neural injuries, intra-operative neurophysiological monitoring inc...

Tethered cord syndrome (TCS) is spinal cord fixation from multiple pathological entities. No case of TCShas been reported in our region. The goal of this case report was to describe a TCS managed at the Douala General hospital. Mrs. EEL, 23 year old consulted in 2012 for urinary and fecal incontinence. She had a past history of a spina bifida at birth operated on day two of life. On admission, ...

spinal dysraphism that is attributed to incomplete neural tube closure during fetal development. Dermal sinus tracts are found along the midline neuroaxis from the nasion to the coccyx, but they most commonly appear in the lumbar region.1 Dermal sinus tracts are more commonly associated with other developmental abnormalities such as skin tags, naevi, spinal dermoid cysts, meningocoele, lipomas ...

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...

Background The case study describes a patient with scoliosis after tethered spinal cord-symptomatic was surgically resolved at the age of 21⁄2 months. At that time, the Cobb angle of the thoracic curve was 32°. At the age of 30 months a three curved thoracic left-scoliosis with a Cobb angle of 80° with serious shape-shift in frontal and sagittal level appeared. At the age of 41⁄2 years the pati...

STUDY DESIGN Retrospective cohort study. PURPOSE To compare long-term results of surgery with the outcomes of symptomatic and asymptomatic tethered cord syndrome (TCS) in children and adolescents and to assess the surgery duration for those with TCS. OVERVIEW OF LITERATURE Pediatric patients with TCS continue to pose significant diagnostic and management challenges. METHODS We retrospecti...

AIM This study was planned for detailed evaluation of electrophysiological findings in patients with adult TCS. MATERIAL AND METHODS Patients were retrospectively assessed for clinical, radiological and electrophysiological data between 1999 and 2008. Tibial somatosensorial evoked potentials, needle electromyography, nerve conduction studies and late responses (H reflex and F response) were s...