ArticleSurgical neurology international2019
Type I split cord malformation and tethered cord syndrome in an adult patient: A case report and literature review.
Article in Surgical neurology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Tandem Detethering: A Novel One-Stage Approach Combining Cervicothoracic Cord Release Followed by Filum Terminale Sectioning.Journal of clinical medicine · 2025Article
- Neurological deterioration in an adult patient with split cord malformation following untethering via filum sectioning: Case report.North American Spine Society journal · 2025Article
- Classification of and individual treatment strategies for complex tethered cord syndrome.Frontiers in surgery · 2024Article
- [Classification and microsurgical treatment of primary tethered cord syndrome in adults].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023Article
- Thoracolumbar surgery for degenerative spine diseases complicated with tethered cord syndrome: A case report.World journal of clinical cases · 2022Article
- Split cord malformation and tethered cord syndrome: case series with long-term follow-up and literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Review
- Incidentally discovered type 1 split cord malformation in an adult patient.Radiology case reports · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn a split cord malformation (SCM), the spinal cord is divided longitudinally into two distinct hemicords that later rejoin. This can result in a tethered cord syndrome (TCS). Rarely, TCS secondary to SCM presents in adulthood. Here, we present an adult female with Type I SCM resulting in TCS and a review of literature. CASE DESCRIPTION: A 57-year-old female with a history of spina bifida occulta presented with a 2-year history of worsening back and left leg pain, difficulty with ambulation, and intermittent urinary incontinence; she had not responded to conservative therapy. Magnetic resonance imaging (MRI) revealed a tethered cord secondary to lumbar type I SCM. The patient underwent an L1-S1 laminectomy for resection of the bony septum with cord detethering. At 2-month follow-up, the patient had improvement in her motor symptoms and less pain. In literature, 25 cases of adult-onset surgically managed SCM with TCS were identified (between 1936 and 2018). Patients averaged 37 years of age at the time of diagnosis, and 56% were female.
conclusionTCS can present secondary to SCM in adulthood and is characterized predominantly by back and leg pain.
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