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Radiology, Vol 131, 153-160, Copyright © 1979 by Radiological Society of North America

ARTICLES

Tethered spinal cord following meningomyelocele repair

ER Heinz, AE Rosenbaum, TB Scarff, DH Reigel and BP Drayer

Of 16 consecutive patients with tethered spinal cord studied, most had undergone repair of a meningomyelocele. All were evaluated using somatosensory evoked potentials at 6 to 12-month intervals. Other possibilities include tethered filum terminale, lipomeningocele, membrana reuniens, and miscellaneous conditions (diastematomyelia, neurenteric cysts, etc.). Metrizamide myelography with polytomography was superior to gas myelography in showing a low-lying cord, obtuse nerve root angles, and a thin subarachnoid space between the cord and the dorsal meninges cephalad to the tether. Surgery is generally helpful in these patients.


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