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[Spinal dysraphia and tethered cord syndrome. Current developments].

J H Begeer1, R A Roos

  • 1Neurologische Kliniek, Academisch Ziekenhuis,Groningen.

Tijdschrift Voor Kindergeneeskunde
|June 1, 1989
PubMed
Summary

Tethered spinal cord syndrome, often seen in spina bifida patients, can cause progressive neurological deficits. Early detection via MRI is crucial for timely surgical intervention to prevent further damage.

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Area of Science:

  • Neurology
  • Pediatric Surgery
  • Radiology

Background:

  • Tethered spinal cord syndrome is a common complication in patients with spina bifida and spina bifida aperta.
  • This condition can lead to progressive neurological deterioration affecting the legs, bladder, and rectum.

Purpose of the Study:

  • To emphasize the mandatory nature of early detection for preventive surgery in patients with tethered spinal cord syndrome.
  • To highlight the diagnostic advantages of Magnetic Resonance Imaging (MRI) for tethered spinal cord syndrome and associated abnormalities.

Main Methods:

  • Diagnosis traditionally involved myelography combined with computed tomographic (CT) techniques.
  • Magnetic Resonance Imaging (MRI) is presented as a more accessible and advanced diagnostic tool.

Main Results:

  • MRI facilitates easier detection of tethered spinal cord syndrome.
  • MRI also aids in the straightforward identification of associated spinal abnormalities such as syringomyelia, Arnold-Chiari malformation, and diastematomyelia.

Conclusions:

  • Early diagnosis of tethered spinal cord syndrome is essential for timely surgical intervention, particularly in patients with spina bifida.
  • MRI offers a superior method for diagnosing tethered spinal cord syndrome and related congenital anomalies, improving patient management.

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