Open AccessTethered cord syndrome in adolescents: Report of two cases and review of literature
Author(s) -
Sudhansu Sekhar Mishra,
Souvagya Panigrahi,
Manmath Kumar Dhir,
Deepak Kumar Parida
Publication year - 2013
Publication title -
journal of pediatric neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 18
eISSN - 1998-3948
pISSN - 1817-1745
DOI - 10.4103/1817-1745.111426
Subject(s) - medicine , tethered cord , girl , etiology , presentation (obstetrics) , intervention (counseling) , fecal incontinence , urinary incontinence , lumbar , surgery , case presentation , pediatrics , spinal cord , psychiatry , psychology , developmental psychology
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.