Presentation
Urinary incontinence
Patient Data
Abrupt, blunt, club-shaped ending of cord at T12 level with thin syrinx in visualized lower thoracic cord.
Hypoplasia/dysgenesis of the sacrum is seen.
Postoperative changes are seen with laminectomy defects involving lumbar vertebrae.
Clumping of cauda equina roots is seen at the L2/3 level.
No evidence of intraspinal lipoma was seen in the present scan.
No significant disc bulge was seen.
No obvious pre-/paravertebral collection seen.
Left kidney is not visualized in left renal fossa. Suggested USG correlation, if clinically indicated.
Case Discussion
Abrupt, blunt, club-shaped ending of cord at T12 level with thin syrinx in visualized lower thoracic cord and hypoplasia/dysgenesis of sacrum consistent with type I caudal regression syndrome.
Clumping of cauda equina roots at L2/3 level consistent with arachnoiditis.