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Tethered cord syndrome (TCS) refers to a group of neurological disorders that relate to malformations of the spinal cord. [1] Various forms include tight filum terminale , lipomeningomyelocele , split cord malformations ( diastematomyelia ), occult, dermal sinus tracts , and dermoids .
Tethered spinal cord syndrome appears to be the result of improper growth of the neural tube during fetal development, and is closely linked to spina bifida. Tethering may also develop after spinal cord injury and scar tissue can block the flow of fluids around the spinal cord.
With tethered cord syndrome, “the spinal cord is stuck to something. It could be a tumor in the spinal canal. It could be a bump on a spike of bones. It could just be too much fat at the end of ...
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.
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Tethered Cord Syndrome presents varied and almost uncontrollable neurophenomenae in pediatric cases. Other treatment is symptomatic and supportive. NSAIDs, opiates, synthetic opiates, Cox II inhibitors, off-label applications of tricyclic anti-depressants combined with anti-seizure compounds have yet to prove they are of value in treatment of ...
If the spinal cord is not free to move within the thecal sac due to abnormal tissue attachments, especially during growth, tethered spinal cord syndrome may occur. [8] In a split cord malformation, some portion of the spinal cord is divided into parallel halves.
The neck is a delicate structure which includes the spinal cord, major blood vessels and nerves. “We see a lot of injuries, like neck pain or even worse, such as injuring the neck vasculature or ...