Caudal regression syndrome

Case contributed by Dr Ahmed Elowaidy

Presentation

Urinary incontinence and lower limb weakness

Patient Data

Age: 9 years old
Gender: Female
X-ray

LSS Xray (Frontal and lateral views)

There is absent lower sacrum and coccyx with hypoplasia of S2

No hip dislocations or subluxation seen

Some bowel loops appear distended with fecal loading

MRI

MRI LSS

The MRI confirm the X ray findings

There is abrupt truncation of the conus medullaris at the level of T12/L1 (normally should end at L1/L2), no tethered cord seen

No spinal masses seen or synrinx in the visualised cords, or meningiocoele / meningiomyelocoele, and no hydrocephalus (not shown here)

No other associated vertebral anomalies in the rest of her spine (not shown)

In conclusion, findings are compatible with type I caudal regression syndrome

PlayAdd to Share

Case information

rID: 24840
Case created: 15th Sep 2013
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.