A Presenile Patient with Filar Lipoma Who Developed Tethered Spinal Cord Syndrome Triggered by Lumbar Canal Stenosis.
| Autor: | Oketani H; Department of Neurosurgery, Hachisuga Hospital, Munakata, Fukuoka, Japan., Harimaya K; Department of Orthopedic Surgery, Kyushu University Beppu Hospital, Beppu, Oita, Japan., Ono T; Department of Orthopedic Surgery, Kyushu University Beppu Hospital, Beppu, Oita, Japan., Terado K; Department of Orthopedic Surgery, Hachisuga Hospital, Munakata, Fukuoka, Japan., Inoha S; Department of Neurosurgery, Hachisuga Hospital, Munakata, Fukuoka, Japan., Suzuki SO; Department of Psychiatry, Shourai Hospital, Karatsu, Saga, Japan., Morioka T; Department of Neurosurgery, Hachisuga Hospital, Munakata, Fukuoka, Japan. |
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| Jazyk: | angličtina |
| Zdroj: | NMC case report journal [NMC Case Rep J] 2023 Apr 21; Vol. 10, pp. 109-113. Date of Electronic Publication: 2023 Apr 21 (Print Publication: 2023). |
| DOI: | 10.2176/jns-nmc.2022-0347 |
| Abstrakt: | Lumbar canal stenosis (LCS) has been reported as a precipitating factor by which a tethered spinal cord, which is asymptomatic during childhood, develops into tethered cord syndrome (TCS) in adulthood. However, only a few reports on surgical strategies for such cases are available. A 64-year-old woman presented with unbearable pain in the left buttock and dorsal aspect of the thigh approximately 1 year ago. Magnetic resonance imaging showed cord tethering with a filar-type spinal lipoma and LCS due to the thickening of the ligamentum flavum at the L4-5 vertebral level. Five months after the decompressive laminectomy for the treatment of LCS, an untethering surgery was performed at the dural cul-de-sac at the S4 level. The severed end of the filum was elevated rostrally by 7 mm, and the pain subsided postoperatively. This case study shows that surgeries for both lesions should be indicated for adult-onset TCS triggered by LCS. Competing Interests: The authors have no conflict of interest to declare. (© 2023 The Japan Neurosurgical Society.) |
| Databáze: | MEDLINE |
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