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So-called tethered cervical spinal cord.

A A Roth-Vargas1, S L Rossitti, R J Balbo

  • 1Department of Neuropsychiatry, Pontifical Catholic University of Campinas, SP, Brazil.

Neurochirurgia
|May 1, 1989
PubMed
Summary

Tethered Cervical Spinal Cord Syndrome, a rare condition, caused multiradicular upper limb pain in a woman with spinal malformations. Surgical intervention for spinal cord tethering was unsuccessful, necessitating rhizotomy for pain management.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Developmental Biology

Background:

  • Tethered Cervical Spinal Cord Syndrome is a rare neurological disorder.
  • It is characterized by abnormal fixation of the spinal cord in the spinal canal.
  • This fixation can lead to progressive neurological deficits.

Observation:

  • A 45-year-old woman presented with multiradicular pain in her upper limb.
  • She had a complex spinal malformation including spina bifida occulta (C6), intramedullary lipoma, intradural adhesions, and cervical vertebral fusion.
  • These anomalies contributed to the tethered cervical spinal cord.

Findings:

  • Surgical release of the tethered spinal cord was ineffective in alleviating the patient's pain.
  • The patient ultimately required a posterior rhizotomy to manage the persistent multiradicular pain.
  • This case highlights the challenges in treating pain associated with complex spinal cord tethering.

Implications:

  • The case underscores the intricate relationship between congenital spinal malformations and neurological symptoms.
  • It suggests that surgical decompression alone may not always resolve pain in tethered cord syndromes.
  • Further research into the maldevelopmental aspects and alternative pain management strategies for this uncommon condition is warranted.

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