Awada A, Chatta G, Majdalani A, Gautier J C
Rev Neurol (Paris). 1986;142(5):553-5.
A 12 year-old boy was investigated for progressive deformity of the left foot developing over 2 years. The foot was hollow with equinus varus and claw toes. Signs of a lesion of left L5 and S1 roots were present and spina bifida at L5 was noted on X-rays. Magnetic resonance imaging (MRI) showed a tethered spinal cord associated with a lipoma at the level of the S1 vertebra. Modes of presentation and physiopathology of disorders related to tethered cords are reviewed and the diagnostic value of MRI is emphasized.
一名12岁男孩因左足两年内逐渐出现畸形而接受检查。足部呈中空状,伴有马蹄内翻足和爪形趾。存在左侧L5和S1神经根损伤的体征,X线片显示L5有脊柱裂。磁共振成像(MRI)显示在S1椎体水平存在脊髓栓系并伴有脂肪瘤。本文回顾了与脊髓栓系相关疾病的表现形式和病理生理学,并强调了MRI的诊断价值。