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331348

Tethered cord syndrome: an unusual cause of neurobladder in adult: a case report

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Last updated: 27 Dec 2024

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Abstract

Tethered spinal cord syndrome is a progressive functional disorder due to constant or intermittent axial traction of the terminal cone of the spinal cord fixed in an abnormal caudal position. It is a frequent complication of spinal dysraphism. The fixation of the spinal cord does not allow normal cranial migration within the vertebral canal. This results in neurological dysfunction. Although quite common and diagnosed early in children, this condition may be less severe and remain asymptomatic into adulthood. Diagnosis is mainly based on spinal cord MRI and treatment remains surgical in patients with the symptomatic form. The condition involves several medical and surgical specialties. Delayed diagnosis and management can affect the chances of recovery. In this work, we report the case of a 26-year-old man suffering from attached spinal cord syndrome, discovered following an initial urinary and then motor symptomatology, for which a surgical intervention and motor and bladder rehabilitation sessions allowed a progressive and complete regression of the disorders 14 months after the surgery.

DOI

10.21608/pajn.2023.207013.1092

Keywords

Adult, Spinal cord, Tethered cord syndrome, Neurological bladder

Authors

First Name

Hugues Ghislain

Last Name

Atakla

MiddleName

-

Affiliation

Neurosurgery Department, University Hospital Center, Conakry, Guinea

Email

neuroscience.ghislain@gmail.com

City

Dakar / Senegal

Orcid

https://orcid.org/00

First Name

Lounceny Fatoumata

Last Name

Barry

MiddleName

-

Affiliation

Neurosurgery Department, University Hospital Center, Conakry, Guinea

Email

drlcbarry@gmail.com

City

-

Orcid

-

First Name

Marie Kisito

Last Name

Quenum

MiddleName

-

Affiliation

Neurosurgery Department, University Hospital Center, Parakou, Benin

Email

kisitoq@gmail.com

City

Benin

Orcid

-

First Name

Cyrus Igor

Last Name

Sossa

MiddleName

-

Affiliation

Neurosurgery Department, University Hospital Center, Conakry, Guinea

Email

sossacyrus@gmail.com

City

Guinea

Orcid

-

First Name

Aichat Yabo

Last Name

Salami

MiddleName

-

Affiliation

Microbiology Laboratory, University Hospital Center Hubert Koutoukou MAGA, Cotonou, Benin

Email

aichatyabo2019@gmail.com

City

-

Orcid

-

First Name

Ofosu Benjamin

Last Name

Bekoe

MiddleName

-

Affiliation

Division of General surgery, MAB International Clinic, Accra, Ghana

Email

hilsonbernard@gmail.com

City

-

Orcid

-

First Name

Ummi Sulaimi

Last Name

Sulemana

MiddleName

-

Affiliation

Division of General surgery, MAB International Clinic, Accra, Ghana

Email

usnileniki@gmail.com

City

-

Orcid

-

First Name

Jaccob Molai

Last Name

Adotey

MiddleName

-

Affiliation

Division of General surgery, MAB International Clinic, Accra, Ghana

Email

molaiadotey@yahoo.com

City

-

Orcid

-

First Name

Thomas Kofi

Last Name

Dakurah

MiddleName

-

Affiliation

Neurosurgery Department, Korle-bu teaching hospital, Accra, Ghana

Email

tomdakurah@gmail.com

City

Ghana

Orcid

-

First Name

Ibrahima Sory

Last Name

Souaré

MiddleName

-

Affiliation

Neurosurgery Department, University Hospital Center, Conakry, Guinea

Email

souareis@yahoo.fr

City

-

Orcid

-

Volume

18

Article Issue

2

Related Issue

44868

Issue Date

2023-12-01

Receive Date

2023-04-21

Publish Date

2023-12-01

Page Start

169

Page End

171

Print ISSN

1319-6995

Online ISSN

2735-4482

Article File

PAJN_Volume 18_Issue 2_Pages 169-171.pdf

PDF . 851.5kB

Link

https://pajn.journals.ekb.eg/article_331348.html

Detail API

https://pajn.journals.ekb.eg/service?article_code=331348

Order

12

Type

Case Reports

Type Code

1,546

Publication Type

Journal

Publication Title

Pan Arab Journal of Neurosurgery

Publication Link

https://pajn.journals.ekb.eg/

MainTitle

Tethered cord syndrome: an unusual cause of neurobladder in adult: a case report

Details

Type

Article

Created At

27 Dec 2024