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Tethered spinal cord can be caused by various conditions but the main cause is when tissue attachments limit the movement of the spinal cord in the spinal column which causes abnormal stretching of the cord. The tethered spinal cord syndrome is correlated with having the causes: [9] Spina bifida. Occulta; Mylomeningocele; Meningocele; History ...
Diastematomyelia is a "dysraphic state" of unknown embryonic origin, but is probably initiated by an accessory neurenteric canal (an additional embryonic spinal canal.).) This condition may be an isolated phenomenon or may be associated with other segmental anomalies of the vertebral bodies such as spina bifida, kyphoscoliosis, butterfly vertebra, hemivertebra and block vertebrae which are ...
For those children with spinal cord diseases, lumbar puncture may damage the spinal cord due to possibility of tethered spinal cord syndrome where the spinal cord is located below than the usual spinal termination level. [3] Therefore, lumbar puncture should be done at the lowest position as possible for such cases. However, spinal cord injury ...
It is frequently co-morbid with atlanto-axial joint instability, Chiari malformation, [3] or tethered spinal cord syndrome. The condition can be brought on by physical trauma, including whiplash, laxity of the ligaments surrounding the joint, or other damage to the surrounding connective tissue.
The first is the dorsal type, which means that the disruption of the spinal cord occurs on the dorsal, i.e. towards the back, portion of the spinal cord. [1] There may be nerves affected, but these types of spinal lipomas generally do not extend into the conus medullaris , which is the ends of spinal cord nerves.
Most cases of AD occur in individuals with spinal cord injuries. [3] Lesions at or above the T6 spinal cord level are more frequently reported, although there are reports of AD in patients with lesions as low as T10. [4] [5] Guillain–Barré syndrome may also cause autonomic dysreflexia. [6]
A shunt may be needed in those with hydrocephalus, and a tethered spinal cord may be surgically repaired. [6] Devices to help with movement such as crutches or wheelchairs may be useful. [6] Urinary catheterization may also be needed. [6] Rates of other types of spina bifida vary significantly by country, from 0.1 to 5 per 1,000 births. [15]
In adults, surgery to free (detether) the spinal cord can reduce the size and further development of cysts in the cord and may restore some function or alleviate other symptoms. Tethered Cord Syndrome is causally linked to Chiari Malformation and any affirmative diagnosis of TCS must be followed by screening for Chiari's several degrees.