Drawstring pouch : a case protocol on tethered cord syndrome

Jay Fulgencio

Publication Date

2014

Document Type

Research

Abstract

This is a case of a 22 month old male who came in for consult because of fever. The fever was associated with abdominal pain and distention. Physical examination revealed distention of the abdomen, erythematous, swollen and tender lateral aspect of the right foot and ankle. An incidental finding of a 3.5x3.0 cm skin-colored, non-erythematous, firm, non-movable, non-tender mass with dimpling on the central area at the midline of the lumbosacral area. The patient was admitted and treated for the right lower cellulitis and urinary tract infection. Further investigations were made with regards to the lumbosacral mass. Workup revealed a meningocoele with tethering of the spinal cord. Subspecialty referral was done to address the physical defects and abnormalities associated with the spinal cord tethering. The patient's signs and symptoms associated with the syndrome are irreversible at this point in time and surgical correction of the meningocoele can be done only to halt the progression of the tethering and prevent further complications. The patient was discharged cleared of the cellulities and the urinatry tract infection and was followed up as outpatient by the respective subspecialties the patient was referred to.

This document is currently not available here.

Share

COinS