Clinical Manifestation of A Tethered Cord Syndrome at Children and Research Methods for Early Diagnosis of Disease
Galimzhan Mamirbekovich Yelikbayev and Aigerim Aitbayevna TutayevaDepartment of Surgical diseases, International Kazakh-Turkish University K..A.Yassawi
Abstract: identification of the main clinical manifestation of a syndrome tethered cord at children and application modern visual research methods for early diagnosis of the disease. Are surveyed 30 children. The age patients was from 12 months to 18 years. Tethered cord syndrome in 21 supervision arose at pathological processes at the level of lumbar and sacral department of a backbone, at 5 patients the lumbar level, 3 in sacral and 1 patient on chest of vertebras. Skin manifestations at a tethered cord syndrome at 77% of children were shown hypertrichosis, a hypodermic lipoma, change of pigmentation of skin. Progressing of neurologic deficiency were shown by muscular weakness in 87% of cases and violation of sensitivity at 70% of patients. Impaired function of pelvic organs encountered in 90% of children. Main problem in diagnostics of a syndrome of the tethered cord at children at the present stage is that the few parents and practical doctors know about value of some skin manifestation, neurologic, orthopedic, urological violation which can signal about a back dizrafizm. The perspective direction is considered presurgical research of the neurologic and urological status of patient using an electromyography, a cistometrography and caused somatosensory potential.
Keywords: tethered cord syndrome; kyphoscoliosis; conus medullaris; cistometrography; children; hypertrichosis Back to TOC