Lumbar myelomeningocele with tethered cord

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Withheld

Patient Data

Age: 2 days.
Gender: Male
Modality: X-ray

Widened interpedicular distance in lumbosacral vertebrae suggesting spina bifida with soft tissue swelling over lower lumbar region. 

Modality: Ultrasound

Ultrasound revealed splaying of posterior elements of lower lumbar vertebrae and a large lumbar myelomeningocele with tethering of lower cord, conus medullaris and cauda equina nerve roots along dorsal aspect of spinal canal and sac of the myelomeningocele. Central canal of the cord was not dilated.

Modality: Ultrasound

Head ultrasound showed a small well defined hypoechoic area along left caudothalamic groove which was assumed to be gliotic focus as a sequelae to prior bleed. There was no tonsillar herniation.

Modality: Photo

No tuft of hair, skin dimple, sinus, lipoma or hemangioma were seen.

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Case Information

rID: 34930
Case created: 15th Mar 2015
Last edited: 25th Apr 2017
Systems: Spine, Paediatrics
Inclusion in quiz mode: Included

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