A Case of Malum Perforans Pedis Associated with Tethered Cord Syndrome

Abstract

A 47-year-old female who complained of a sensorimotor disturbance in her lower extremities and urinary disturbance presented. She first noted a loss of sensation in both feet at 23 years of age, immediately after the birth of her child and thereafter suffered from foot ulcers. She also noted a loss of micturition desire, and urinary incontinence appeared at 42 years of age. She presented with deep cone-shaped ulcers on the pressure-bearing areas of her soles, and she also had a dimple at the midline of her lower back. A neurological examination revealed that a segmental sensorimotor disturbance at the level of the 5th lumbar ∼ 1st sacral segment. MRI demonstrated a tethered cord and lumbosacral lipoma. This case was diagnosed to be mal perfirans pedis due to tethered cord syndrome. The findings of a review of the literature on foot ulcers associated with tethered cord syndrome are also discussed.