Split cord malformation and tethered cord syndrome: case series with long-term follow-up and literature review.
Andrew J KobetsJeffrey OliverAlan CohenGeorge I JalloMari L GrovesPublished in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2020)
The rarity of concurrent split cord and tethered cord syndrome with a low-lying conus makes management difficult to formulate. This series supplements our knowledge of the long-term outcomes and lessons learned from the management of these patients. Approximately 25% of patients were managed conservatively and had symptomatic improvement. For surgically managed patients, with intractable pain or worsening neurological function, symptoms can still recur over a decade after intervention. Reoperation, however, can still be beneficial, can provide years of relief, and should be considered.
Keyphrases
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- case report
- randomized controlled trial
- peritoneal dialysis
- chronic pain
- healthcare
- pain management
- patient reported outcomes
- spinal cord
- spinal cord injury
- depressive symptoms
- physical activity
- neuropathic pain
- blood brain barrier
- sleep quality
- patient reported
- rectal cancer