[Tethered conus syndrome or fixed spinal cord syndrome. Lumbosacral lipomas].
Fifty-eight cases presenting a tethered conus with spina bifida occulta are analysed. Twenty-three patients had a lipoma, the others had various malformations of the cord. Twenty patients had no symptom or sign, 38 had neurological symptoms and signs. Only 2 had no skin malformation. The aim of surgery is to reduce the volume of the lipoma, untether the cord, and reconstruct the posterior protection of the cord. Twenty-six patients were cured or improved, 12 patients were stabilized, 19 remained asymptomatic, 1 was worsened.
D000015:Abnormalities, Multiple / Q000175:diagnosis; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008067:Lipoma / Q000150:complications* / Q000601:surgery; D008297:Male; D009461:Neurologic Manifestations; D016136:Spina Bifida Occulta / Q000150:complications / Q000601:surgery; D013116:Spinal Cord / Q000002:abnormalities* / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000150:complications* / Q000601:surgery; D013577:Syndrome; D013997:Time Factors
Syndrome de traction du cône terminal ou syndrome de la moelle attachée. Lipomes lombo-sacrés.