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The conus medullaris (Latin for "medullary cone") or conus terminalis is the tapered, lower end of the spinal cord. It occurs near lumbar vertebral levels 1 (L1) and 2 (L2), occasionally lower. [ 1 ] [ 2 ] The upper end of the conus medullaris is usually not well defined, however, its corresponding spinal cord segments are usually S1–S5.
A tethered cord is often diagnosed as a "low conus". The conus medullaris (or lower termination of the spinal cord) normally terminates at or above the L1-2 disk space (where L1 is the first, or topmost lumbar vertebra). After about 3 months of age, a conus below the L1-2 disk space may indicate a tethered cord and termination below L3-4 is ...
The conus medullaris (bottom of the spinal cord) terminates at the level of L1 in adults, but may range in term neonates (newly born babies) from L1–L3 levels. [31] It is important to insert the spinal needle below the conus medullaris at the L3/L4 or L4/L5 interspinous levels. [32]
One 2013 study reported spinal cord stimulation of the conus medullaris in 27 patients with pudendal neuralgia. [61] 20 of the patients reported positive results with the test stimulation. [61] For these 20, there was an average reduction in pain of 2.9 points (out of 10) after an average of 15 months after implantation of the permanent ...
This procedure is to look for the level of spinal cord disease such as lumbar nerve root compression, cauda equina syndrome, conus medullaris lesions, and spinal stenosis. This is done for those who are unwilling or unable to do MRI scan of the spine. Lumbar puncture is done before injected contrast into the thecal sac.
Spinal cord compression is a form of myelopathy in which the spinal cord is compressed. Causes can be bone fragments from a vertebral fracture, a tumor , abscess , ruptured intervertebral disc or other lesion.
Conus medullaris syndrome is an injury to the end of the spinal cord the conus medullaris, located at about the T12–L2 vertebrae in adults. [30] This region contains the S4–S5 spinal segments, responsible for bowel, bladder, and some sexual functions , so these can be disrupted in this type of injury. [ 30 ]
Sectional organization of spinal cord. The spinal cord is the main pathway for information connecting the brain and peripheral nervous system. [3] [4] Much shorter than its protecting spinal column, the human spinal cord originates in the brainstem, passes through the foramen magnum, and continues through to the conus medullaris near the second lumbar vertebra before terminating in a fibrous ...