Abstract

We report on a 5-year-old boy presenting with tethered cord, diastometamyelia, spinal dysraphism, terminal lipoma, spinal epidermoid, and dermal sinus tract with CT, conventional MRI, and diffusion-weighted MRI findings. To the best of our knowledge, our case has the property to be the first case in the literature showing the association of these pathologies all together.

Highlights

  • We report on a 5-year-old boy presenting with tethered cord, diastometamyelia, spinal dysraphism, terminal lipoma, spinal epidermoid, and dermal sinus tract with computerized tomography (CT), conventional magnetic resonance imaging (MRI), and diffusion-weighted MRI findings.To the best of our knowledge, our case has the property to be the first case in the literature showing the association of these pathologies all together

  • Diastometamyelia, spinal dysraphism, terminal lipoma, spinal epidermoid cyst and dermal sinus tract were all observed concomitant with tethered cord and we aimed to present the computerized tomography (CT), conventional magnetic resonance imaging (MRI) and diffusionweighted MRI findings

  • In 1953, Garceau first asserted that the short filum terminale causes spinal cord traction

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Summary

Introduction

We report on a 5-year-old boy presenting with tethered cord, diastometamyelia, spinal dysraphism, terminal lipoma, spinal epidermoid, and dermal sinus tract with CT, conventional MRI, and diffusion-weighted MRI findings.To the best of our knowledge, our case has the property to be the first case in the literature showing the association of these pathologies all together. Lipomyelomeningocele, and diastometamyelia may cause tense or short filum terminale, dermal sinus tract, tumor, hemangioma or scar tissue may cause tethered cord syndrome [1,2,3]. In this case, diastometamyelia, spinal dysraphism, terminal lipoma, spinal epidermoid cyst and dermal sinus tract were all observed concomitant with tethered cord and we aimed to present the computerized tomography (CT), conventional magnetic resonance imaging (MRI) and diffusionweighted MRI findings. The patient was examined with 1.5 Tesla (Siemens symphony, Erlangen, Germany) MRI T1-weighted turbo spin echo (TSE) sagittal, T2-weighted TSE sagittal-

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