Mishra Sudhansu Sekhar, Panigrahi Souvagya, Dhir Manmath Kumar, Parida Deepak Kumar
Department of Neurosurgery, S.C.B. Medical College and Hospital, Cuttack, Odisha, India.
J Pediatr Neurosci. 2013 Jan;8(1):55-8. doi: 10.4103/1817-1745.111426.
The symptoms of tethered cord syndrome (TCS) cases mostly appear during infancy and childhood. Though the adolescent presentation of TCS is well-recognized, it continues to pose significant diagnostic and management controversies. In this report, we describe two cases of adolescent onset TCS associated with two different etiologies. Our first case, an 18-year-old girl who presented due to overflow incontinence in association with TCS was diagnosed to have lumbar meningocele. The second case, a 19-year-girl presenting with perianal anesthesia and bowel and bladder incontinence had lipomyelomeningocele as the cause of TCS. Both of them underwent untethering surgery. The clinical charts and follow-up data were studied in respect to the clinical manifestation, surgical intervention and outcome with a brief review of pertinent literature.
脊髓拴系综合征（TCS）病例的症状大多出现在婴儿期和儿童期。尽管TCS在青少年期的表现已得到充分认识，但在诊断和治疗方面仍存在重大争议。在本报告中，我们描述了两例青少年期发病的TCS病例，其病因各不相同。我们的第一个病例是一名18岁女孩，因与TCS相关的充溢性尿失禁前来就诊，诊断为腰骶部脊膜膨出。第二个病例是一名19岁女孩，表现为肛周感觉缺失及大小便失禁，病因是脂肪瘤型脊髓脊膜膨出导致的TCS。她们都接受了松解手术。我们研究了临床图表和随访数据，包括临床表现、手术干预及结果，并对相关文献进行了简要回顾。
