ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2015
Missed limited dorsal myeloschisis: an unfortunate cause for recurrent tethered cord syndrome.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 12 citations in OpenAlex.
- Incomplete cervical limited dorsal myeloschisis with membranous sac: a case report and literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Review
- Clinical analysis of tethered cord syndrome and gene expression profiling of wound healing surgery.Postepy dermatologii i alergologii · 2023Article
- Giant limited dorsal myeloschisis may be associated with normal functional prognosis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Saccular Limited Dorsal Myeloschisis with Spinal Cord Deviation out of the Spinal Canal to the Sac.NMC case report journal · 2021Article
- Atlantoaxial limited dorsal myeloschisis: A report of two cases and review of literature.Brain & spine · 2021Article
- Neurosurgical pathology of limited dorsal myeloschisis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThis study aims to highlight the recurrent tethered cord syndrome in relation to the relatively new pathological entity of limited dorsal myeloschisis (LDM) and to mention the difficulties faced by the paediatric neurosurgeon in developing countries with reference to LDM which was not recognized at initial presentation. MATERIALS AND
methodsWe present three cases of recurrent tethered cord syndrome who were operated early in life (not by paediatric neurosurgeons) as meningoceles and who were then subsequently referred to the senior author as they presented with clinical signs of re-tethering of the cord.
resultsThe first child of 1 year of age represented with cervicodorsal swelling 10 months after primary surgery for a cervical meningomyelocele done elsewhere on the second day of life. The second was a girl of 3 years of age who was operated at birth and presented with severe brachialgia and neck pain after 2 years. The third was a 19-year-old girl operated at birth presenting with spastic paraparesis and also hand weakness associated with kyphosis. All the three patients improved symptomatically and neurologically after redo surgery.
conclusionThe diagnosis of LDMs, especially in developing countries, is frequently missed. This needs to be tackled and addressed so that children with this subset of neural tube defects, who otherwise would normally have a very good outcome, may not be blighted and left scarred for life at an early age.
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