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82457acb1a In most cases, individuals experience symptoms during childhood. In order to help clarify the situation, a proposed definition for true tethered cord syndrome limits that this disorder to individuals who exhibit neurological signs and symptoms due to inelastic structures anchoring the caudal end of the spinal cord. government funding, and some supported by private industry, are posted on this government web site. In others, where the anomalous structure is attached to the wide area of the spinal cord, signs and symptoms reflect local effects on the spinal cord, and not stretched-induced dysfunction (tethered cord syndrome). They propose that tethering and abnormal tension were already present before the trauma, which worsened the condition. Symptoms of tethered cord become more pronounced during periods of rapid growth due to increased stretching of the spinal cord. ..
I hope you are all going to good doctors I am lucky I live near New York City so finding the right Neurosurgeon was a little easier. This is not associated with spina bifida but may occur in patients with the Chiari 1 malformation. I was in hospital laid flat for 4 days then 6 weeks off work to recover.the difference is remarkable. In some cases, a fluid-filled cavity (syrinx) is found, sometimes associated with typical signs and symptoms syringomyelia, such as burning pain in the analgesic (painless on examination) area, decreased motor function and loss of muscle mass, or occasional headaches, Causes Tethered cord syndrome can be of a congenital (primary) origin or acquired (secondary or developmental). Pathophysiologically, neuronal dysfunction in tethered cord syndrome results partly from inability for the spinal cord neurons to utilize oxygen, that is, the impaired oxidative metabolism, partly due to lack of oxygen supply (ischemic effect), and partly to ion channel dysfunction directly related neuronal membrane stretching. For example, children experience difficulty walking, and adults usually have pain and weakness in the legs, back, and foot arches. Is there any treatment? MRI imaging is often used to evaluate individuals with these symptoms, and can be used to diagnose the location of the tethering, lower than normal position of the conus medullaris, or presence of a tumor or fatty mass (lipoma). Yamada S, Won DJ, Pezeshkpour G, et al. Im now 27 still have a rough time daily with sitting in one spot to long or even standing, i fknd wearing comfy shoes with high arches around the soul of my foot help with posture problems. Pediatrics 55:826-835, 1975 Balagura S: Late neurological dysfunction in adult lumbosacral lipoma with tethered cord.