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Journal of Scientific Research and  Studies

Journal of Scientific Research and Studies Vol. 2(2), pp. 36-38, March, 2015

ISSN 2375-8791

Copyright © 2015

Author(s) retain the copyright of this article

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Case Report

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: selcukbektas008@gmail.com, Tel: 0432 2159739.
 

Accepted 12 March, 2015

 

 Abstract

 

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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