Myelomeningocele and tethered cord

Case contributed by Dr Hidayatullah Hamidi


Midline lumbar swelling since birth. Patient has lower limb weakness for about 4 years.

Patient Data

Age: 18 years
Gender: Male

The cord is not terminated at normal level extending inferiority to the L4/5 level where it goes through a bony defect in the posterior arch elements of L5 to S2 vertebra to a large CSF containing sac (tethered cord with myelomeningocele).

No fat content is seen to suggest lipoma.

Case Discussion

Myelomeningocele is known as a cause of tethered cord in 8% of cases 1

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Case information

rID: 70353
Published: 14th Aug 2019
Last edited: 3rd Feb 2020
Inclusion in quiz mode: Included

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