Resumo

HERNANDEZ HERNANDEZ, Bárbara Aymeé; CARRERO TEXIDOR, Yenisset; CEPERO NORIEGA, Fara Luisa  e  MARTINEZ GONZALEZ, Miguel. Tethered cord syndrome in adults. Acta Neurol Colomb. [online]. 2010, vol.26, n.1, pp.47-54. ISSN 0120-8748.

SUMMARY Introduction. Tethered cord syndrome is due to pathologic fixation of the spinal cord in the spinal canal. It´s an uncommon disease, it´s diagnosis is very late in adults and can simulate other affections. It presents neurological manifestations, orthopedics deformities in legs and skin manifestation. Neurophysiologycal studies are very important in those cases to demonstrate the intensity of nerve affection and exactly topography. The image studies, in special magnetic resonance image confirm this disease. Objects. Show cases with tethered cord syndrome in uncommon ages, and abnormalities of neurophysiologycal studies in those cases. Methods. We show three cases with tethered cord syndrome that appears in young ages and others presumptive diagnosis are planted at the beginning of clinical picture. Nerve conduction study, Somatosensory evoked potentials and Electromiography of lower members and Magnetic resonance Images were done to those patients. Results. Electrophysiologycal studies have showed moderate to severe abnormalities of the nerve structures and Magnetic resonance Images confirmed tethered cord syndrome. Conclusions. Tethered cord syndrome is uncommon disease in adult but it should be considered in patients that start with progressive orthopedic deformities of lower members. Electrophysiologycal studies are affected. They are very useful to evaluate the neurological structure involvement in it.

Palavras-chave : tethered cord síndrome; Nerve conduction study; Somatosensory Evoked potentials; Electromiography; Magnetic resonance Image.

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