Presentation
Urinary incontinency
Patient Data
Age: 5 years
Gender: Female
From the case:
Caudal regression syndrome
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Sacral agenesis with last intact vertebra of S2. The conus terminates opposite L1-L2 level at normal position without truncation. No syrinx is depicted. No vertebral body anomaly is detected.
Bilateral hydroureteronephrosis is visible.
Case Discussion
Caudal regression syndrome represents a spectrum of structural defects of the caudal region. Malformations vary from isolated partial agenesis of the coccyx to lumbosacral agenesis 1.
MRI
- useful to assess canal stenosis
- a characteristic wedge-shaped cord terminus may be seen 2
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