©2008, World J Pediatr. All rights reserved. A female, born after normal pregnancy and labor, was referred for consultation for a 1-cm long fi brous appendage in the midline of her lumbosacral region one day after birth (Fig. 1). Although she was neurologically intact, computed tomography at 3 months revealed L4-L5 spina bifi da (Fig. 2A), and magnetic resonance imaging (MRI) showed a low conus...

syringobulbiais very rare condition defined as slit-like fluid cavity in the brain stem. several conditions have been reported to be associated with syringobulbia including neoplasms, spinal cord traumas or lesions such as tethered cord, hind-brain herniation, infections such as meningitis and in isolation.although post-traumatic syringomyelia has been wieldy described previously, traumatic bra...

AIM Cutaneous markers in the lumbo-sacral region are indicators of occult spinal dysrhaphism and tethered cord. By means of spinal sonography, anatomical abnormalities of the spinal cord can be shown in the neonatal period. PATIENTS We report on 6 infants with lumbo-sacral cutaneous abnormalities who were investigated with a high resolution linear transducer (> 7.5 MHz) and a computer sonogra...

1. Recognize the signs and symptoms of ventricular shunt failure (increased intracranial pressure). 2. Identify the signs and symptoms of tethered spinal cord. 3. List signs and symptoms of Chiari II malformation. 4. Apply the three-level classification system to patients who have spinal cord abnormalities. 5. Use system-based recommendations for ongoing surveillance and care of patients who ha...

The authors report a rare case of elderly-onset "lumbar spondylotic myelopathy" occurred on a low-placed spinal cord compressed at multiple levels with thickened ligamenta flava. A posterior decompression surgery could alleviate neurological symptoms successfully instead of untethering of the spinal cord, a widely accepted surgery for tethered cord.