REVISTA DE EDUCATIE MEDICALA CONTINUA DEDICATA GINECOLOGILOR,
OBSTETRICENILOR, MOASELOR SI ASISTENTILOR MEDICALI DIN ROMANIA

<- Home <- Arhive <- Anul 9, Nr. 34, Noiembrie_Supplement_3 2021



RevistaGinecologia9(34)68-71(2021)
© VERSA PULS MEDIA, S.R.L.


Tethered cord – a case report and literature review

A.I. Toma, A. Cozinov, V. Dima, S. Târnoveanu, M. Iriciuc, D. Tudorache, M. Steriu, B.M. Mihai, R. Bohîlțea, S. Vlădăreanu


Rezumat: Tethered cord is a congenital syndrome characterized by the spinal cord under tension, being extended and attached to caudal structures, usually being associated with dysraphic lesions. Tethered cord is an anomaly of the caudal cell mass and a secondary neurulation process with a deficit of regression of the caudal eminence. Advancements in ultrasonography allow the condition to be detected from the second or the third trimester, creating the necessary premises for a higher rate of successful treatment. Pain and neurological disfunctions, such as muscular weakness and sphincteric dysfunctions, represent the main symptoms of the condition. Left untreated, tethered cord will lead to progressive neurological decline and irreversible damage to the nerves. The main outcomes of the surgery are the reduction or stoppage of neurological function decline and the improvement of sphincteric control which represent a significant improvement in the quality of life of the patients. We present the case of a newborn with tethered cord diagnosed postnatally, with the aim to emphasize the importance of ultrasonographic use in the prenatal diagnosis of congenital anomalies.
Cuvinte cheie: tethered cord, neurologic disfunction, spinal development.

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