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Tethered
cord is a spinal cord abnormality in which a rope-like
membrane produced by the spinal cord (i.e., filum terminale) persists after birth and anchors the conus (i.e., "conus medullaris" or the terminal cone of the spine) at or below the level of the second lumbar vertebrae, causing various symptoms ranging from mild to severe.
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- Difficulty with bladder, bowel control
- Midline skin lesion such as a lipoma, cutaneous hemangioma, tuft of hair, hyperpigmentation, or a dermal pit on the back in 70% of cases
- A sideways curvature of the backbone (scoliosis)
- Back pain
- Diffuse pain in the legs
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- It occurs when the spinal cord is blocked during backbone growth by scar tissue, fatty mass, or a developmental abnormality.
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- Neurologic examination
- Computer tomography (CT)
- Magnetic resonance imaging (MRI)
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- Surgical transection (severing) of the thickened filum terminale
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