Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2013
Duplicated filum terminale in the absence of split cord malformation: a potential cause of failed detethering procedures.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Rizk Elias, Adeeb Nimer, Hussein Ahmed E, Tubbs R Shane, Rozzelle Curtis J, Oakes W Jerry
Аннотация
INTRODUCTION: A duplicated filum terminale appears to be a rare finding in the absence of a split cord malformation. Herein, we discuss this finding and its potential dysembryology.
CASE REPORTS: We report two cases of duplicated filum terminale without split cord malformation. The first case presented as an incidental finding with thickened filum terminale. At time of surgery, a thickened filum was resected and a smaller size filum was transected and both were confirmed with pathologic examination. The second case presented with a lumbar skin hemangioma. Screening MRI showed a duplicated filum terminale with fat signal in both structures. Pathology also confirmed the diagnosis of two fila terminalia.
CONCLUSIONS: The neurosurgeon should consider the possibility of two fila terminalia during operation to transect a single filum for tethered spinal cord.
CASE REPORTS: We report two cases of duplicated filum terminale without split cord malformation. The first case presented as an incidental finding with thickened filum terminale. At time of surgery, a thickened filum was resected and a smaller size filum was transected and both were confirmed with pathologic examination. The second case presented with a lumbar skin hemangioma. Screening MRI showed a duplicated filum terminale with fat signal in both structures. Pathology also confirmed the diagnosis of two fila terminalia.
CONCLUSIONS: The neurosurgeon should consider the possibility of two fila terminalia during operation to transect a single filum for tethered spinal cord.