Duplicate filum terminale noted in an adult: a rare finding.
This is the first reported case of an adult presenting with tethering symptoms, limb discrepancy on physical examination, a low-lying spinal cord, and duplicate filum terminale discovered intraoperatively. Intraoperative imaging and pathological analysis of a specimen confirmed the diagnosis of duplicate filum. This is the first reported adult case with duplication of the filum terminale. Release of both fila was necessary in this case to relieve the tethering symptoms.
Departments of 1 Neurosurgery and.
Justin R
JR
Davanzo
Departments of 1 Neurosurgery and.
J
J
Christopher Zacko
Pathology, Penn State Hershey Medical Center, Hershey, Pennsylvania.
Charles S
CS
Specht
Departments of 1 Neurosurgery and.
Elias B
EB
Rizk
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects / Q000379:methods; D008279:Magnetic Resonance Imaging; D008297:Male; D009436:Neural Tube Defects / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
NTD = neural tube defect; SCM = split cord malformation; congenital; filum terminale; spinal cord tethering