Abstract
The natural history of spinal dysraphism has not been determined precisely. According to many authors only about one-half of patients eventually become symptomatic [9, 27–29]. Therefore, the indication for and timing of surgical procedures in asymptomatic children with dysraphic malformations is very controversial. We have undertaken a retrospective analysis of spinal hamartomas associated with spinal dysraphism in patients who became symptomatic in adulthood to describe clinical features and results of treatment and to help to define guidelines for the treatment of children.
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References
Anderson FM (1975) Occult spinal dysraphism: a series of 73 cases. Pediatrics 55:826–835
Balagura S (1984) Late neurological dysfunction in adult lumbosacral lipoma with tethered cord. Neurosurgery 15:724–726
English JE, Maltby GL (1967) Diastematomyelia in adults. J Neurosurg 27:260–264
Epstein F (1983) Meningomyelocele: “pitfalls” in early and late management. Clin Neurosurg 30:366–284
Fain B, Vellet D, Hertzanu Y (1985) Adult tethered cord syndrome. A case report. S Afr Med J 67:985–986
Freeman LW (1961) Late symptoms from diastematomyelia. J Neurosurg 18:538–541
Heinz ER, Rosenbaum AE, Scarff TB, Reigel DH, Drayer BP (1979) Tethered spinal cord following myelomeningocele repair. Radiology 131:153–160
HogenEsch R, Zeilstra DJ, Breukers SME, Wiertsema GPA, Begeer JH, Ter Weeme CA (1990) Tethered cord syndrome following spina bifida aperta. Adv Neurosurg 18:158–162
Humphreys RP (1991) Current trends in spinal dysraphism. Paraplegia 29:79–83
Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observations. J Am Stat Assoc 53:457–481
Klekamp J, Samii M (in press) Introduction of a score system for the clinical evaluation of patients with spinal processes. Acta Neurochir Suppl (Wien)
Kondo A, Kato K, Kanai S, Skakibara T (1986) Bladder dysfunction secondary to tethered cord syndrome in adults: is it curable? J Urol 135:313–316
Lagae L, Verpoorten C, Casaer P, Vereecken R, Fabry G, Plets C (1990) Conservative versus neurosurgical treatment of tethered cord patients. Z Kinderchir 45 [Suppl 1]:16–17
Lesoin F, Petit H, Destee A, Rousseaux M, Julliot JP, Jomin M (1984) Spinal dysraphia and elongated spinal cord in adults. Surg Neurol 21:119–124
Oi S, Yamada H, Matsumoto S (1990) Tethered cord syndrome versus low-placed conus medullaris in an over-distended spinal cord following initial repair for myelodysplasia. Childs Nerv Syst 6:264–269
Pang D, Wilberger JE Jr (1982) Tethered cord syndrome in adults. J Neurosurg 57:32–47
Peter JC (1992) Occult dysraphism of the spine. A retrospective analysis of 88 operative cases, 1979–1989. S Afr Med J 81:351–354
Pierre-Kahn A, Lacombe J, Pichon J, Giudicelli Y, Renier D, Sainte-Rose C, Perrigot M, Hirsch JF (1986) Intraspinal lipomas with spina bifida. Prognosis and treatment in 73 cases. J Neurosurg 65:756–761
Raimonde AJ (1987) Pediatric neurosurgery. Springer, Berlin Heidelberg New York
Reuter I (1987) Das Tethered Cord Syndrom. Möglichkeiten der Diagnose durch klinische Untersuchung und Kernspintomographie. Medical dissertation University of Frankfurt
Salvati M, Orlando Ramundo E, Artico M, Martini S, Caruso R, Fortuns A (1990) The tethered cord syndrome in the adult. Report of three cases and review of the literature. Zentralbl Neurochir 51:91–93
Schmidt DM, Robinson B, Jones D (1990) The tethered spinal cord. Etiology and clinical manifestations. Orthop Rev 19:870–876
Shikata J, Yamamuro T, Mikawa Y, Kotoura Y (1988) Intraspinal epidermoid and dermoid cysts. Surgical results of seven cases. Arch Orthop Trauma Surg 107:105–109
Sostrin RD, Thompson JR, Rouhe SA, Hasso AN (1977) Occult spinal dysraphism in the geriatric patient. Radiology 125:165–169
Stolke D, Zumkeller M, Seifert V (1988) Intraspinal lipomas in infancy and childhood causing a tethered cord syndrome. Neurosurg Rev 11:59–65
Tamaki N, Shirataki K, Kojima N, Shouse Y, Matsumoto S (1988) Tethered cord syndrome of delayed onset following repair of myelomeingocele. J Neurosurg 69:393–398
Tani S, Yamada S, Knighton RS (1987) Extensibility of the lumbar and sacral cord. Pathophysiology of the tethered spinal cord in cats. J Neurosurg 66:116–123
Vogel S, Neumaerker K, Klepel K (1990) The optimal time for operative treatment of the tethered cord syndrome. Adv Neurosurg 18:155–157
Yamada S, Knierim O, Yonekawa M, Schultz R, Maeda G (1983) Tethered cord syndrome. J Am Paraplegia Soc 6:58–61
Zumkeller M, Stolke D, Dietz H (1990) Intraspinal lipomas with tethered cord syndrome — results of operative treatment in 30 children. Adv Neurosurg 18:164–169
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© 1994 Springer-Verlag Berlin Heidelberg
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Klekamp, J., Samii, M., Raimondi, A.J. (1994). Spinal Hamartomas in Adulthood. In: Bauer, B.L., Brock, M., Klinger, M. (eds) Cerebellar Infarct. Midline Tumors. Minimally Invasive Endoscopic Neurosurgery (MIEN). Advances in Neurosurgery, vol 22. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78801-7_44
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DOI: https://doi.org/10.1007/978-3-642-78801-7_44
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