Tethered cord syndrome: progressive symptomatology in adults. Case report: symptoms, diagnosis, treatment.
Medical history and symptoms of a 37 year old woman showing progressive conus syndrome for nine months after a symptomless interval of 20 years are reported. NMR, myelography, and computed tomographic myelography verify a filum terminale with a paramedian fixation at the level of the lumbosacral angel and a further fixation at the caudal end of the dural sac at the lower end of the sacrum. The operative findings and procedures are described. The importance of control by neuro-stimulation of the filum terminale during surgery is stressed. The post-operative remission of most of the symptoms proves the success of the treatment.
Institute for Radiodiagnostics, Leopoldina-Hospital, Schweinfurt, West-Germany.
H
H
Artmann
W
W
Blank
H
H
Fröhlich
A
A
Spring
D000328:Adult; D005260:Female; D006801:Humans; D008588:Meningocele / Q000150:complications / Q000503:physiopathology* / Q000601:surgery