Physical Address

304 North Cardinal St.
Dorchester Center, MA 02124

Worsening Leg Pain And Weakness

Consult Page

9 year old male history of tethered cord with worsening leg weakness/pain

Initial Imaging

Fig. 55.1, Sagittal T2-weighted lumbar spine MRI without contrast shows post-surgical changes of his prior lumbar laminectomy, partial sacral agenesis, low lying tethered cord, and syringohydromyelia. These findings are unchanged from a year prior when the patient was asymptomatic.

Walking Thoughts

■
What is the patient’s medical history? What is his tethered cord history?
■
Has he had prior detethering or related surgeries?
■
What are the patient’s symptoms (weakness, pain, bowel/bladder dysfunction)?
■
How long has the patient been having symptoms?
■
What type of imaging is available? What prior imaging is there to compare to?

You're Reading a Preview

Become a Clinical Tree membership for Full access and enjoy Unlimited articles

Become membership

If you are a member. Log in here