title: Tethered cord syndrome in adolescents: Report of two cases and review of literature.
abstract: The symptoms of tethered cord syndrome (TCS) cases mostly appear during infancy and childhood. Though the adolescent presentation of TCS is well-recognized, it continues to pose significant diagnostic and management controversies. In this report, we describe two cases of adolescent onset TCS associated with two different etiologies. Our first case, an 18-year-old girl who presented due to overflow incontinence in association with TCS was diagnosed to have lumbar meningocele. The second case, a 19-year-girl presenting with perianal anesthesia and bowel and bladder incontinence had lipomyelomeningocele as the cause of TCS. Both of them underwent untethering surgery. The clinical charts and follow-up data were studied in respect to the clinical manifestation, surgical intervention and outcome with a brief review of pertinent literature.
authors.affiliation: Department of Neurosurgery, S.C.B. Medical College and Hospital, Cuttack, Odisha, India.
authors.forename: Sudhansu Sekhar
authors.initials: SS
authors.lastname: Mishra
authors.forename: Souvagya
authors.initials: S
authors.lastname: Panigrahi
authors.forename: Manmath Kumar
authors.initials: MK
authors.lastname: Dhir
authors.forename: Deepak Kumar
authors.initials: DK
authors.lastname: Parida
keywords: Adolescent; lipomyelomeningocele; meningocele; tethered cord syndrome