Retethering of sectioned fibrolipomatous filum terminales: report of two cases

Neurosurgery
M M Souweidane, J M Drake

Abstract

The release of a tethered spinal cord by sectioning a thickened filum terminale is a straightforward surgical procedure that can prevent, arrest, or ameliorate neurological deficits. We recently recognized progressive neurological deterioration caused by filum retethering in two patients years after this procedure was performed. This sequela of a recurrent tethered cord after the sectioning of a filum terminale has not previously been described. Two female patients, each 13 years of age at presentation, had been previously operated on for tethered spinal cords secondary to fibrolipomatous (fatty) fila terminale. Both presented with bladder dysfunction and one with progressive paraparesis. Magnetic resonance images revealed a low-lying conus medullaris and a sectioned filum with the proximal stump adherent to the posterior dura. Each patient underwent neurosurgical exploration of the previous site of sectioning, with the recognition of a retethered proximal stump of the filum terminale. After rerelease of the fatty filum, the patient with only bladder dysfunction stabilized and a motor examination revealed normal results for the patient with progressive paraparesis. Retethering of the spinal cord is a rare sequela after the sect...Continue Reading

References

Nov 1, 1975·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·C R Fitz, D C Harwood Nash
May 1, 1991·Journal of Neurosurgery·H SakamotoS Nishimura
Jun 1, 1990·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·C BalasubramaniamW R Cheek
Aug 1, 1990·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·S OiS Matsumoto
Dec 1, 1988·Radiology·L M LevyS S Yang
Jul 1, 1988·Surgical Neurology·W A HallJ A Brunberg
Sep 1, 1988·Journal of Neurosurgery·N TamakiS Matsumoto
Jan 1, 1987·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·J K KangJ U Song
Apr 1, 1981·Journal of Neurosurgery·S YamadaD Sanders
Dec 1, 1980·Journal of Neurosurgery·E J DolanK F Hughes
Jan 1, 1995·Pediatric Neurosurgery·B ZideF J Epstein
Jan 1, 1995·Acta neurochirurgica·M CaldarelliM Di Gennaro
Jan 1, 1995·Pediatric Neurosurgery·R W ByrneD G McLone
Oct 1, 1956·A.M.A. Archives of Surgery·P H JONES, J G LOVE

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Citations

Mar 30, 2005·Neurosurgery·Laura Grazia ValentiniCarlo L Solero
Jan 26, 2018·Neurologia Medico-chirurgica·Toshiaki HayashiTeiji Tominaga
Apr 6, 2007·Pediatric Neurosurgery·Sean M Lew, Karl F Kothbauer
Oct 27, 2007·Neurosurgical Focus·Michael A Finn, Marion L Walker
Mar 19, 2014·Journal of Neurosurgery. Pediatrics·Michael J CoolsCormac O Maher
Jul 14, 2007·Pediatric Neurosurgery·John S KuoJ Gordon McComb
Jun 6, 2006·Neurosurgical Focus·J P Blount, S Elton
Oct 4, 2011·Journal of Neurosurgery. Pediatrics·Albert H KimEdward R Smith
Dec 26, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Tobias FingerUlrich-Wilhelm Thomale
Jan 5, 2011·Journal of Neurosurgery. Pediatrics·Hideki OgiwaraTadanori Tomita

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