Cargando…

A Novel Case of Tethered Cord in a Five-Month-Old Male With Pallister-Killian Syndrome

A five-month-old male presented with an incidentally found low-lying conus medullaris on ultrasound and subsequent MRI demonstrating its position at L4. Pre-operative examination findings included mild, global hypotonia and a coccygeal dimple without bladder or bowel abnormalities or spasticity. The...

Descripción completa

Detalles Bibliográficos
Autores principales: Gigliotti, Michael J, Tachie-Baffour, Yaw, Jafrani, Ryan J, Lane, Jessica, Rizk, Elias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7704268/
https://www.ncbi.nlm.nih.gov/pubmed/33269168
http://dx.doi.org/10.7759/cureus.11240
_version_ 1783616785989238784
author Gigliotti, Michael J
Tachie-Baffour, Yaw
Jafrani, Ryan J
Lane, Jessica
Rizk, Elias
author_facet Gigliotti, Michael J
Tachie-Baffour, Yaw
Jafrani, Ryan J
Lane, Jessica
Rizk, Elias
author_sort Gigliotti, Michael J
collection PubMed
description A five-month-old male presented with an incidentally found low-lying conus medullaris on ultrasound and subsequent MRI demonstrating its position at L4. Pre-operative examination findings included mild, global hypotonia and a coccygeal dimple without bladder or bowel abnormalities or spasticity. The patient underwent spinal cord untethering with a section of filum terminale and was discharged without complication following his procedure. Follow-up at one year revealed continued baseline hypotonia without further neurosurgical needs. This is the first reported case of tethered cord syndrome described in a patient with Pallister-Killian syndrome managed successfully with neurosurgical intervention.
format Online
Article
Text
id pubmed-7704268
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-77042682020-12-01 A Novel Case of Tethered Cord in a Five-Month-Old Male With Pallister-Killian Syndrome Gigliotti, Michael J Tachie-Baffour, Yaw Jafrani, Ryan J Lane, Jessica Rizk, Elias Cureus Neurosurgery A five-month-old male presented with an incidentally found low-lying conus medullaris on ultrasound and subsequent MRI demonstrating its position at L4. Pre-operative examination findings included mild, global hypotonia and a coccygeal dimple without bladder or bowel abnormalities or spasticity. The patient underwent spinal cord untethering with a section of filum terminale and was discharged without complication following his procedure. Follow-up at one year revealed continued baseline hypotonia without further neurosurgical needs. This is the first reported case of tethered cord syndrome described in a patient with Pallister-Killian syndrome managed successfully with neurosurgical intervention. Cureus 2020-10-29 /pmc/articles/PMC7704268/ /pubmed/33269168 http://dx.doi.org/10.7759/cureus.11240 Text en Copyright © 2020, Gigliotti et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Gigliotti, Michael J
Tachie-Baffour, Yaw
Jafrani, Ryan J
Lane, Jessica
Rizk, Elias
A Novel Case of Tethered Cord in a Five-Month-Old Male With Pallister-Killian Syndrome
title A Novel Case of Tethered Cord in a Five-Month-Old Male With Pallister-Killian Syndrome
title_full A Novel Case of Tethered Cord in a Five-Month-Old Male With Pallister-Killian Syndrome
title_fullStr A Novel Case of Tethered Cord in a Five-Month-Old Male With Pallister-Killian Syndrome
title_full_unstemmed A Novel Case of Tethered Cord in a Five-Month-Old Male With Pallister-Killian Syndrome
title_short A Novel Case of Tethered Cord in a Five-Month-Old Male With Pallister-Killian Syndrome
title_sort novel case of tethered cord in a five-month-old male with pallister-killian syndrome
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7704268/
https://www.ncbi.nlm.nih.gov/pubmed/33269168
http://dx.doi.org/10.7759/cureus.11240
work_keys_str_mv AT gigliottimichaelj anovelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome
AT tachiebaffouryaw anovelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome
AT jafraniryanj anovelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome
AT lanejessica anovelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome
AT rizkelias anovelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome
AT gigliottimichaelj novelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome
AT tachiebaffouryaw novelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome
AT jafraniryanj novelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome
AT lanejessica novelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome
AT rizkelias novelcaseoftetheredcordinafivemontholdmalewithpallisterkilliansyndrome