The tethered spinal cord syndrome at myelomeningocele
clinic evolution pre- and post-release
DOI:
https://doi.org/10.34024/rnc.2014.v22.8096Keywords:
Neural tube defects, Meningomyelocele, Tethered cord syndromeAbstract
Objective. To compare the clinical data pre- and post-surgery by patients affected by myelomeningocele who were submitted to the release of tethered spinal cord verifying the complaints of pain, loss of muscular strength, signals of pyramidal release, deformities of the lower limbs, scoliosis, changes on the bladder and bowel functions, asymmetry of the lower limbs and subjective motor complaints; beyond to verify the kind of tissue which caused the tethered spinal cord. Method. Retrospective findings of 32 medical records from patients accompanied by the team of neurosurgeons of EPM/UNIFESP. Results. 73 cases of recovering and the kind of tissue which mostly caused the tethered spinal cord was the epidermoid cyst. Conclusions. the low topography of the spinal cord by magnetic resonance doesn’t characterize tethered spinal cord diagnosis. The most frequent signals are motor changes. There is no standard exam to characterize the tethered spinal cord. Subjectively all patients get better after release.
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References
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