Tethered cord

Case contributed by Dr Mostafa El-Feky


Urinary incontinence

Patient Data

Age: 15
Gender: Male

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).

PlayAdd to Share

Case information

rID: 56056
Published: 13th Oct 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Dar El Ashaa Center

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.