title: Tethered cord syndrome: cause for urge incontinence and pain in lower extremities.
abstract: 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.
authors.affiliation: Department of Urology, Nagoya University School of Medicine, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Kondo
authors.forename: K
authors.initials: K
authors.lastname: Kato
authors.forename: T
authors.initials: T
authors.lastname: Sakakibara
authors.forename: Y
authors.initials: Y
authors.lastname: Hashizume
authors.forename: S
authors.initials: S
authors.lastname: Ito
mesh_terms: 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