Tethered cord syndrome: cause for urge incontinence and pain in lower extremities.
An eight-year-old girl has had urge incontinence for the last three years and muscle weakness and pain in the lower extremities for one month. Urodynamic study revealed a bladder instability of severe degree. Tethered cord syndrome caused by a tight filum terminale was identified by metrizamide myelography. An untethering of the filum terminale resolved her symptomatology completely. The urologist should be aware of this syndrome in a patient presenting with incontinence that has persisted for a long time or has recurred.
Kondo
A
A
Department of Urology, Nagoya University School of Medicine, Japan.
Kato
K
K
Sakakibara
T
T
Hashizume
Y
Y
Ito
S
S
D002420:Cauda Equina / Q000473:pathology / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007866:Leg; D010146:Pain / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D016136:Spina Bifida Occulta / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D001743:Urinary Bladder / Q000503:physiopathology; D014549:Urinary Incontinence / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D014563:Urodynamics