抄録
We report a case diagnosed as tethered cord syndrome treated by surgery. The case involved a 13 year old boy. His complaints were left leg pain and gait disturbance. He had no anomalies and no urinary incontinence, but showed muscle weakness in his left leg and cavus deformities on his feet. His MRI films revealed the tethered cord with a lipomatous tumor at the level of S2.
In surgery, we could not untethere his spinal cord by cutting of the filum terminale alone. We used the additional technique of cutting the left S4, S5 nerve roots using microscopic technique so we could untethere his spinal cord and release the tumor. Histological findings of the lipomatous tumor was lipoma including striated muscles partially.
Seven months later, his complaints disappeared and he now leads a normal school and sports life.
We feel this lesion requires microscopic surgery for the release of tumor.
