Lumbar myelomeningocele with tethered cord

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Withheld

Patient Data

Age: 2 days.
Gender: Male

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

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.

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.

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

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Case information

rID: 34930
Published: 17th Mar 2015
Last edited: 18th Dec 2019
Inclusion in quiz mode: Included

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