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Tethered cord syndrome in identical twins.
Acta Neurochir (Wien). 2009 Jan; 151(1):85-8; discussion 88.AN

Abstract

The diagnosis of tethered cord syndrome (TCS) without typical conus medullaris symptoms and the radiological features such as a low set conus medullaris or dysraphic malformation is difficult. We report 11 year old identical twin brothers with TCS associated with the conus at the normal level. Their presenting symptom was progressive leg pain and both patients underwent surgical interruption of the filum terminale. The pain recurred in one patient treated surgically only after symptom became worse but resolved immediately in the other sibling treated promptly. We indicate the importance of early diagnosis and treatment of TCS to obtain excellent long-term outcome despite the absence of a low set conus or specific symptoms. Furthermore, when a twin or sibling of an affected person has neurological symptoms and the cutaneous signature of spinal dysraphism, radiological examination should be performed to establish the cause.

Authors+Show Affiliations

Department of Neurosurgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan. chevy.moca@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19099176

Citation

Mitsuka, Kentaro, et al. "Tethered Cord Syndrome in Identical Twins." Acta Neurochirurgica, vol. 151, no. 1, 2009, pp. 85-8; discussion 88.
Mitsuka K, Horikoshi T, Watanabe A, et al. Tethered cord syndrome in identical twins. Acta Neurochir (Wien). 2009;151(1):85-8; discussion 88.
Mitsuka, K., Horikoshi, T., Watanabe, A., & Kinouchi, H. (2009). Tethered cord syndrome in identical twins. Acta Neurochirurgica, 151(1), 85-8; discussion 88. https://doi.org/10.1007/s00701-008-0170-8
Mitsuka K, et al. Tethered Cord Syndrome in Identical Twins. Acta Neurochir (Wien). 2009;151(1):85-8; discussion 88. PubMed PMID: 19099176.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tethered cord syndrome in identical twins. AU - Mitsuka,Kentaro, AU - Horikoshi,Toru, AU - Watanabe,Arata, AU - Kinouchi,Hiroyuki, Y1 - 2008/12/20/ PY - 2008/05/08/received PY - 2008/08/01/accepted PY - 2008/12/23/entrez PY - 2008/12/23/pubmed PY - 2009/4/10/medline SP - 85-8; discussion 88 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 151 IS - 1 N2 - The diagnosis of tethered cord syndrome (TCS) without typical conus medullaris symptoms and the radiological features such as a low set conus medullaris or dysraphic malformation is difficult. We report 11 year old identical twin brothers with TCS associated with the conus at the normal level. Their presenting symptom was progressive leg pain and both patients underwent surgical interruption of the filum terminale. The pain recurred in one patient treated surgically only after symptom became worse but resolved immediately in the other sibling treated promptly. We indicate the importance of early diagnosis and treatment of TCS to obtain excellent long-term outcome despite the absence of a low set conus or specific symptoms. Furthermore, when a twin or sibling of an affected person has neurological symptoms and the cutaneous signature of spinal dysraphism, radiological examination should be performed to establish the cause. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/19099176/Tethered_cord_syndrome_in_identical_twins_ L2 - https://dx.doi.org/10.1007/s00701-008-0170-8 DB - PRIME DP - Unbound Medicine ER -