| Autor: |
Raghvendra V Ramdasi, Trimurti D Nadkarni, Atul H Goel |
| Jazyk: |
angličtina |
| Rok vydání: |
2014 |
| Předmět: |
|
| Zdroj: |
Journal of Craniovertebral Junction and Spine, Vol 5, Iss 3, Pp 134-136 (2014) |
| Druh dokumentu: |
article |
| ISSN: |
0974-8237 |
| DOI: |
10.4103/0974-8237.142309 |
| Popis: |
A 53-year-old male patient presented with low back pain radiating to both lower limbs for 2 years and urinary incontinence for 2 months. He had swelled over his lower back since birth. The neurological examination revealed a decreased perianal sensation. Local examination of the lumbar swelling showed a brilliantly transilluminant, cystic midline swelling in the lumbar area with underlying spina bifida. Magnetic resonance imaging revealed a low-lying conus at L3 level associated with spina bifida at L5 and a meningocoele sac. The patient underwent excision of the meningocoele and detethering of cord by extirpation of hypertrophied filum terminale. The patient had an immediate relief of his symptoms. At 3 month follow-up the lumbar wound had healed well, and there was a significant improvement in the perianal hypoesthesia. The adult presentation of a congenital meningocoele and spinal dysraphism is rare, especially in the fifth decade. The possible causes of this delayed presentation are analyzed, and the relevant literature on the subject is presented. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
