Berbrayer D
Department of Medicine, University of Toronto, Ontario, Canada.
Am J Phys Med Rehabil. 1991 Aug;70(4):213-4. doi: 10.1097/00002060-199108000-00010.
The insidious onset of back and/or leg pain, weakness and spasticity of the lower limb, sensory deficits and neurogenic bladder and bowel in a child with spina bifida might represent a tethered cord syndrome. A case report of a child with sudden neurologic deterioration describes this condition. The successful management in children and adults with tethered cord syndrome is improved with early recognition and careful monitoring.
脊柱裂患儿出现隐匿性的腰背部和/或腿部疼痛、下肢无力和痉挛、感觉障碍以及神经源性膀胱和肠道功能障碍,可能提示存在脊髓拴系综合征。一份关于一名儿童突发神经功能恶化的病例报告描述了这种情况。脊髓拴系综合征患儿和成人若能早期识别并仔细监测,其治疗成功率会提高。