تقرير
Type I split cord malformation and tethered cord syndrome in an adult patient: A case report and literature review.
| العنوان: | Type I split cord malformation and tethered cord syndrome in an adult patient: A case report and literature review. |
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| المؤلفون: | D'Agostino EN; Department of Neurosurgery, Geisel School of Medicine, Dartmouth College, Hanover, United States., Calnan DR; Dartmouth-Hitchcock Medical Center, Section of Neurosurgery, 1 Medical Center Drive, Lebanon, New Hampshire, United States., Makler VI; Section of Neurology, 1 Medical Center Drive, Lebanon, New Hampshire, United States., Khan I; Dartmouth-Hitchcock Medical Center, Section of Neurosurgery, 1 Medical Center Drive, Lebanon, New Hampshire, United States., Kanter JH; Dartmouth-Hitchcock Medical Center, Section of Neurosurgery, 1 Medical Center Drive, Lebanon, New Hampshire, United States., Bauer DF; Dartmouth-Hitchcock Medical Center, Section of Neurosurgery, 1 Medical Center Drive, Lebanon, New Hampshire, United States. |
| المصدر: | Surgical neurology international [Surg Neurol Int] 2019 Jun 07; Vol. 10, pp. 90. Date of Electronic Publication: 2019 Jun 07 (Print Publication: 2019). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Scientific Scholar LLC Country of Publication: United States NLM ID: 101535836 Publication Model: eCollection Cited Medium: Print ISSN: 2229-5097 (Print) Linking ISSN: 21527806 NLM ISO Abbreviation: Surg Neurol Int Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Pittsford, NY, USA : Scientific Scholar LLC Original Publication: Mumbai : Medknow |
| مستخلص: | Background: In a split cord malformation (SCM), the spinal cord is divided longitudinally into two distinct hemicords that later rejoin. This can result in a tethered cord syndrome (TCS). Rarely, TCS secondary to SCM presents in adulthood. Here, we present an adult female with Type I SCM resulting in TCS and a review of literature. Case Description: A 57-year-old female with a history of spina bifida occulta presented with a 2-year history of worsening back and left leg pain, difficulty with ambulation, and intermittent urinary incontinence; she had not responded to conservative therapy. Magnetic resonance imaging (MRI) revealed a tethered cord secondary to lumbar type I SCM. The patient underwent an L1-S1 laminectomy for resection of the bony septum with cord detethering. At 2-month follow-up, the patient had improvement in her motor symptoms and less pain. In literature, 25 cases of adult-onset surgically managed SCM with TCS were identified (between 1936 and 2018). Patients averaged 37 years of age at the time of diagnosis, and 56% were female. Conclusion: TCS can present secondary to SCM in adulthood and is characterized predominantly by back and leg pain. Competing Interests: There are no conflicts of interest. |
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| فهرسة مساهمة: | Keywords: Adult; Diastematomyelia; Split cord; Tethered cord |
| تواريخ الأحداث: | Date Created: 20190919 Latest Revision: 20220410 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC6744800 |
| DOI: | 10.25259/SNI-66-2019 |
| PMID: | 31528428 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2229-5097 |
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| DOI: | 10.25259/SNI-66-2019 |