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Tethered cord syndrome

D M Marchiori1, R Firth

  • 1Palmer Research Institute, Davenport, Iowa 52803, USA.

Journal of Manipulative and Physiological Therapeutics
|May 1, 1996
PubMed
Summary
This summary is machine-generated.

Tethered spinal cord syndrome can cause low back and leg pain. Magnetic resonance imaging is key for diagnosis in patients unresponsive to chiropractic care.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Radiology

Background:

  • Low back and leg pain are common presenting complaints.
  • Differential diagnosis is crucial for effective treatment.
  • Tethered spinal cord syndrome is a potential, often overlooked, cause.

Observation:

  • A 32-year-old woman presented with chronic low back and bilateral leg pain/numbness.
  • Initial lumbar spine X-rays were unremarkable.
  • Magnetic resonance imaging (MRI) revealed a tethered spinal cord.

Findings:

  • The patient's symptoms were attributed to tethered cord syndrome.
  • Surgical correction of the abbreviated filum terminale was performed.
  • MRI is instrumental in diagnosing spinal cord abnormalities.

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Implications:

  • Highlights the importance of considering tethered cord syndrome in unexplained back and leg pain.
  • Emphasizes the diagnostic utility of MRI in neurological deficits.
  • Suggests MRI evaluation for patients with persistent symptoms despite conservative treatment.