Tethered cord

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Urinary incontinence

Patient Data

Age: 15
Gender: Male
MRI

MRI lumbar spine

S3 spina bifida with an open posterior neural arch that shows dorsal dermal sinus tract harboring dysplastic neurogenic and fibrous tissues. Associated superficially located subcutaneous loculus of CSF like intensities averaging 1 cm in size likely small meningocele.

Low lying spinal cord with posterior tethering to the site of the defect (at S3 level).

1 cm intra-spinal CSF like intensity loculus at S1 level likely small intra-spinal arachnoid cyst.

A mild degree of spondylolisthesis noted at L5/S1 level.

Incidental solitary left kidney.

Case Discussion

This case demonstrates radiological features of spina bifida at S3 level and tethered cord. On imaging, it manifests as a low conus medullaris (below L2) and thickened filum terminale (> 2 mm).

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Case information

rID: 56056
Case created: 8th Oct 2017
Last edited: 24th Oct 2017
Inclusion in quiz mode: Included
Institution: DAR ELASHAA center

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