Co-existing limited dorsal myeloschisis, spinal dermal sinus tract, and dermoid cyst in a 3-month-old female infant: Illustrative case.
Limited dorsal myeloschisis (LDM) and spinal dermal sinus tracts (DST) are rare forms of closed spinal dysraphism that are usually considered distinct entities, and their coexistence with a dermoid cyst is exceptionally uncommon. We describe a 3-month-old female infant with a congenital lumbosacral…
Late diagnosis of lumbar lipomyelomeningocele with tethered cord syndrome in an adult: case report and literature review.
Lipomyelomeningocele (LMM) is the most common form of closed spinal dysraphism and is typically diagnosed in childhood. Although many patients are initially asymptomatic, progressive neurological deterioration may occur over time due to tethered cord syndrome (TCS). Adult presentation of untreated L…
Minimally Invasive Keyhole Interlaminar Detethering for Symptomatic Fatty Filum Terminale in Pediatric Patients: An Operative Technique.
Fatty filum terminale (FFT) is a common cause of tethered cord syndrome (TCS) in children. Traditional detethering often requires laminectomy, which increases surgical trauma and complications. This study aimed to evaluate the safety and efficacy of a minimally invasive keyhole interlaminar approach…
Evaluating occult spinal dysraphism in children with midline cutaneous lesions: when to image?
Occult spinal dysraphism (OSD) represents a group of congenital spinal anomalies in which neural tissue remains covered by intact skin. Because the skin and nervous system share a common ectodermal origin, midline lumbosacral cutaneous lesions are frequently associated with underlying spinal abnorma…
Rachipagus Parasitic Twin With Epithelialized Myelomeningocele in a Rural Ethiopian Neonate: A Case Report.
Rachipagus parasitic twinning is an exceptionally rare clinical entity resulting from an asymmetric monozygotic twinning process, characterized by a dorsally co-joined partially formed twin. Co- existence of this condition with neural tube defect is uncommon, yet clinically significant. In this pape…
Clinical characterization of tethered cord syndrome due to lipomatous filum and filum terminale lipoma in symptomatic children.
Tethered cord syndrome (TCS) is heterogeneous, and a filum with lipomatous tissue can present in multiple patterns. The aim of this study was to determine whether filum characteristics are associated with particular symptomatology. A descriptive cross-sectional retrospective study was conducted over…
Pre- and postoperative urodynamic risk stratification in infants and young children undergoing tethered cord release.
Primary tethered cord syndrome (TCS) can lead to neurological and urologic dysfunction. While postoperative urodynamic studies (UDS) are standard for evaluating bladder function after spinal cord detethering (SCD), the role of preoperative UDS remains unclear, particularly in non-toilet trained (NTT…
Surgical Treatment of Tethered Cord Syndrome by Release of Filum Terminalis: A Review.
Tethered cord syndrome (TCS) is a disease caused by pathological fixation of the spinal cord, most commonly due to a thickened filum terminale, postoperative adhesions, or congenital dysraphism. Progressive neurological, urological, and orthopedic manifestations result from chronic cord traction and…