Neurologic Decline in an Older Patient with Repaired Myelomeningocele Complicated with Lumbar Canal Stenosis

Shingo Matsuda; Satoshi Yamaguchi; Yosuke Kajihara; Masaaki Takeda; Manish Kolakshyapati; Kaoru Kurisu

doi:10.1016/j.wneu.2017.04.075

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Neurologic Decline in an Older Patient with Repaired Myelomeningocele Complicated with Lumbar Canal Stenosis

Journal article

Peer reviewed

Neurologic Decline in an Older Patient with Repaired Myelomeningocele Complicated with Lumbar Canal Stenosis

Shingo Matsuda, Satoshi Yamaguchi, Yosuke Kajihara, Masaaki Takeda, Manish Kolakshyapati and Kaoru Kurisu

World neurosurgery, Vol.103, pp.952.e1-952.e4

07/01/2017

DOI: 10.1016/j.wneu.2017.04.075

PMID: 28433844

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Abstract

BACKGROUND: Tethered cord syndrome is a well-known complication after myelomeningocele (MMC) repair in childhood. However, late complications in adults with a repaired MMC are not well understood. In particular, the influence of a degenerative spinal deformity on a sustained tethered cord is still unclear. CASE DESCRIPTION: A 63-year-old man with a repaired MMC exhibited a progressive gait disturbance and numbness in both lower limbs. Magnetic resonance imaging demonstrated that the tethered spinal cord was compressed by severe canal stenosis along the entire lumbar spine. After a multi-level lumbar decompression surgery, the patient recovered to baseline neurologic status. CONCLUSION: In adults with a repaired MMC, lumbar canal stenosis should be investigated as a possible cause of late neurologic decline. Clinical manifestations may be complicated by the coexistence of both the original and subsequent neurologic disorders. Because these additional disorders result from compressive myelopathy, early surgical decompression is indicated to avoid irreversible spinal cord dysfunction.

Clinical Neurology

Life Sciences & Biomedicine

Neurosciences & Neurology

Science & Technology

Surgery

Details

Title: Subtitle: Neurologic Decline in an Older Patient with Repaired Myelomeningocele Complicated with Lumbar Canal Stenosis
Creators: Shingo Matsuda - Hiroshima University
Satoshi Yamaguchi - Hiroshima University
Yosuke Kajihara - Department of Neurosurgery, Itsukaichi Memorial Hospital, Hiroshima, Japan
Masaaki Takeda - Hiroshima University
Manish Kolakshyapati - Hiroshima University
Kaoru Kurisu - Hiroshima University
Resource Type: Journal article
Publication Details: World neurosurgery, Vol.103, pp.952.e1-952.e4
Publisher: Elsevier
DOI: 10.1016/j.wneu.2017.04.075
PMID: 28433844
ISSN: 1878-8750
eISSN: 1878-8769
Number of pages: 4
Language: English
Date published: 07/01/2017
Academic Unit: Neurosurgery
Record Identifier: 9984304032302771

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