II. Pathophysiology

  1. Progressive, limited movement of spinal cord within spinal canal
  2. Tissue attachments to spinal cord prevent its movement
    1. Acquired
    2. Congenital
      1. Filum Terminale is typically a fine, thread-like attachment anchoring the spinal cord to the Coccyx
      2. A thickened Filum Terminale may result in a congenital Tethered Cord

III. Symptoms

  1. Low Back Pain
    1. Worse with Exercise
  2. Leg Weakness
  3. Urinary Incontinence

IV. Signs

  1. Scoliosis
  2. Lower extremity sensory loss in Dermatome distribution
  3. Lower Extremity Lower Motor Neuron Deficits
    1. Calf Muscle atrophy
    2. Weak ankle dorsiflexion
    3. Hyporeflexia

V. Imaging

VI. Management

  1. Consult Neurosurgery

Images: Related links to external sites (from Bing)

Related Studies