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Recurrent spinal cord tethering by sacral nerve root following lipomyelomeningocele surgery. Case report
G Barolat1, D Schaefer, S Zeme
1Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
Journal of Neurosurgery
|July 1, 1991
Abstract:
A 21-year-old woman had recurrent progressive weakness/hypesthesia and pain in both lower extremities. At the age of 5 and 19 years, she had undergone surgical resection of a lipomyelomeningocele at L5-S1. Surgical exploration revealed that the cord was tethered and pulled over to the side by an excessively short right S-1 nerve root. The contralateral L-5 and S-1 nerve roots were markedly stretched. Division of the right S-1 nerve root resulted in prompt disappearance of pain in the lower extremities and improvement in neurological function.