Tethered cord syndrome in the adult postoperative myelomeningocele patient. A case report.
Tethered cord syndrome in the post-myelomeningocele repair pediatric patient has been previously described. The common presentation is unexplained progressive spasticity and a history of urinary dysfunction. Two series, in particular, looked at the onset of tethered cord following myelomeningocele repair in childhood. We have described delayed presentation in an adult with evidence of the tethered spinal cord syndrome following myelomeningocele repair. This patient's presenting complaints are similar to that of the childhood variety, despite many earlier symptom-free years. Further studies of adults who have had low-level myelomeningocele repair early in life may delineate a more common problem than is realized at present.
Department of Neurosurgery, Naval Hospital, Bethesda, Maryland.
S R
SR
Logan
W S
WS
Fisher
C M
CM
Curcio
D000328:Adult; D006801:Humans; D008297:Male; D008591:Meningomyelocele / Q000601:surgery*; D009422:Nervous System Diseases / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D013118:Spinal Cord Diseases / Q000209:etiology*; D013577:Syndrome; D013997:Time Factors