Hode Luphin, Noukpozounkou Sourou Bruno, Avakoudjo Josué Dejinnin Georges, Alihonou Thierry, Assan Beaudelaire Romulus, Gbenou Séraphin Antoine, Fiogbe Michel Armand
Centre National Hospitalier et Universitaire Hubert Koutoukou Maga, Cotonou, Bénin.
Centre Hospitalier Universitaire de la Mère et de l'Enfant, Lagune, Cotonou, Bénin.
Pan Afr Med J. 2019 Nov 15;34:151. doi: 10.11604/pamj.2019.34.151.18344. eCollection 2019.
Tethered cord syndrome is a spectrum of neurological symptoms due to a constant or intermittent axial traction of the terminal cone of the spinal cord, fixed in abnormal caudal position. It is a rare congenital lesion whose symptoms can be observed only in adulthood. We report the case of a 10-year-old boy with tethered cord syndrome discovered due to bladder and anal incontinence and confirmed by lumbosacral magnetic resonance imaging. He underwent neurosurgical release of the terminal cone by posterior approach. Evolution was marked by improvement of sphincteric disorders. This case study has been followed by a literature review on this subject. This case study highlights the role of magnetic resonance imaging (MRI) in the diagnosis of this disorder.
脊髓拴系综合征是由于脊髓圆锥持续或间歇性轴向牵引，固定于异常的尾侧位置而出现的一系列神经症状。它是一种罕见的先天性病变，其症状仅在成年期才能观察到。我们报告一例10岁男孩，因膀胱和肛门失禁被发现患有脊髓拴系综合征，并经腰骶部磁共振成像证实。他接受了后路神经外科脊髓圆锥松解术。病情进展以括约肌功能障碍的改善为显著特征。本病例研究之后对该主题进行了文献综述。本病例研究强调了磁共振成像（MRI）在该疾病诊断中的作用。
