TETHERED CORD SYNDROME-CASE PRESENTATION

Abstract

Introduction Tethered cord is a term for several different conditions. Common to all conditions of the tethered cord is that the movement of the spinal cord is limited at its base. During daily activities, the spinal cord can not move up and down inside the spinal canal, retreating against the restriction. Withdrawal of the spinal cord if minimal is unlikely to cause damage. In severe cases, the pressure can permanently injure the spinal cord. This functional disorder can be congenital (present at birth, the result of developmental malformations) or it can be acquired (arise later in life). Congenital attachment is usually detected in childhood, but not always. In some cases, congenital malformation is not detected, or properly diagnosed, until adulthood. Tethered Cord Syndrome is relatively rare in adults. Methods and materials We present a 2-year-old child, who has frequent urinary tract infections since infancy. Examined by a neurologist from our Clinic at 2 years of age with the presence of spasticity of the lower extremities and pes eqvinovarus on the right leg. Results Contrast-enhanced magnetic resonance imaging (MRI) diagnosis and consultation with a neurosurgeon are recommended. Conclusion The most common symptoms of this disease in children are lesions of the lower back, fatty tumors of the lower back, skin discoloration of the lower back, back pain, worsened by activity and relieved with rest, leg pain, especially in the back of legs , leg numbness, difficulty walking, deformities of the legs, scoliosis of the spine. If tethered cord sy is later diagnosed it can lead to loss of bladder and colon control. MRI is used for diagnosis. Early surgery is recommended in children to prevent further neurological deterioration. Keywords: Thetered cord, spinal cord, medulla spinalis