Scientific Research and Studies Vol. 2(2), pp. 36-38, March, 2015
Copyright © 2015
Author(s) retain the
copyright of this article
Case of a
patient with tethered cord
Bektaş Selçuk M.1,2*, Mehmet Açıkgöz1, Murat Doğan1,
Hayrettin Temel1, Ertan Sal1 and Hüseyin Çaksen1
1Pediatric Health and
Disease Department, Faculty of Medicine, Yüzüncü Yıl University, Turkey.
2Van Lokman Hekim Hospital, Van, Turkey.
*Corresponding author. E-mail:
Accepted 12 March, 2015
Tethered cord syndrome is a group of diseases that develops as a
result of the regression of spinal cord, and due to congenital
or acquired causes characterized by evolutive neurologic losses,
is called tethered cord syndrome, tight filum terminale, or
filum terminale syndrome. Tethered cord syndrome, is a
congenital disease of childhood and may be observed in adults.
The most frequent causes are isolated spinal cord syndrome,
short and thick filum terminale, intradural lipome, and
adhesions that develop after lipomyelomeningocele and
meningomyelocele surgery. In stretched tethered cord syndrome
observed during childhood, skin symptoms, motor losses, urologic
symptoms, evolutive spinal cord deformation such as scoliosis
are frequent, while perineal and perianal pain, urologic
symptoms and motor losses are more frequent in adults. The aim
of the treatment is the elimination of the pathology leading to
the regression and the protection of healthy neural structures.
In the examination of the 10-months girl patient taken into the
clinic for febrile convulsion and diagnosed as pneumonia and
cardiac insufficiency, a tethered cord syndrome diagnosis has
been established according to the results of spinal magnetic
resonance observations and the bone survey performed due to the
absence of hypo tonicity and deep tendon reflexes in all
extremities. We have presented the case under the light of
relevant resources due to the rare occurrence of tethered cord
case clinic and radiological observations.
Key words: Tethered cord syndrome, pneumonia, hypotonia.
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