Tethered cord syndrome discovered in preoperative examination

Takeshi Yokoyama; Tetsuro Sadahiro; Kathleen A Sluka; Koichi Yamashita; Hiroki Tokoroyama; Masanobu Manabe

doi:10.1007/s00540-006-0491-9

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Tethered cord syndrome discovered in preoperative examination

Journal article

Peer reviewed

Tethered cord syndrome discovered in preoperative examination

Takeshi Yokoyama, Tetsuro Sadahiro, Kathleen A Sluka, Koichi Yamashita, Hiroki Tokoroyama and Masanobu Manabe

Journal of anesthesia, Vol.21(2), pp.270-272

05/2007

DOI: 10.1007/s00540-006-0491-9

PMID: 17458659

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Abstract

We present an instructive case of a 47-year-old female patient with tethered cord syndrome, discovered before arthroscopy was to be performed under routine spinal anesthesia for right knee arthritis. The patient had no symptoms except for right knee-joint pain, but weakness in the left dorsiflexors and decreased range of motion in the left ankle and toe joints were found on preoperative physical examination. In addition, clawfoot deformity was discovered in the left foot. A small stigma was observed on the skin in the sacral region. A magnetic resonance imaging scan showed the spinal cord tethered to an intrathecal mass in the sacral region. Therefore, we avoided spinal anesthesia. The arthroscopy proceeded uneventfully with the patient under general anesthesia.

Medicine & Public Health

Tethered cord syndrome

Dysraphism

Anesthesiology

Physical examination

Epidural anesthesia

Spinal anesthesia

Details

Title: Subtitle: Tethered cord syndrome discovered in preoperative examination
Creators: Takeshi Yokoyama - Department of Anesthesiology and Critical Care Medicine Kochi Medical School Takasushinmachi, Kohasu, Oko-cho, Nankoku Kochi 783-8505 Japan
Tetsuro Sadahiro - Department of Orthopaedic Surgery Kochi Hand Center FLEC Clinic Kochi Japan
Kathleen A Sluka - Graduate Program in Physical Therapy and Rehabilitation Science University of Iowa Iowa city Iowa USA
Koichi Yamashita - Department of Anesthesiology and Critical Care Medicine Kochi Medical School Takasushinmachi, Kohasu, Oko-cho, Nankoku Kochi 783-8505 Japan
Hiroki Tokoroyama - Department of Anesthesiology and Critical Care Medicine Kochi Medical School Takasushinmachi, Kohasu, Oko-cho, Nankoku Kochi 783-8505 Japan
Masanobu Manabe - Department of Anesthesiology and Critical Care Medicine Kochi Medical School Takasushinmachi, Kohasu, Oko-cho, Nankoku Kochi 783-8505 Japan
Resource Type: Journal article
Publication Details: Journal of anesthesia, Vol.21(2), pp.270-272
Publisher: Springer-Verlag; Tokyo
DOI: 10.1007/s00540-006-0491-9
PMID: 17458659
ISSN: 0913-8668
eISSN: 1438-8359
Language: English
Date published: 05/2007
Academic Unit: Iowa Neuroscience Institute; Nursing; Physical Therapy and Rehabilitation Science; Neuroscience and Pharmacology
Record Identifier: 9984040353802771

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