Linked Life Data

8561939

Source:http://linkedlifedata.com/resource/pubmed/id/8561939

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1996-3-5
pubmed:abstractText
Adults who have had repair of an open myelomeningocoele at birth are susceptible to a variant of adult onset tethered cord syndrome (ATCS). Precipitous and profound loss of lower extremity motor function occurred in two postrepair adult patients, but was not seen in any of our 12 cases of adult tethered cord with any other aetiologies. Both postrepair ATCS patients made a good recovery after surgical release of the tether. For the patients with other aetiologies, surgery yielded improvement or recovery of urinary continence in 57%, relief from pain in 78% and improved strength in 80%. Evidence of retethering was observed in 25% of the operated patients at intervals ranging from 1 to 9 years postoperatively. We conclude that surgical release of tether can reverse incontinence in ATCS of any aetiology and that in the post-myelomeningocoele repair patient, both dexamethasone and surgical intervention are helpful in reversing acute neurological deterioration.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0268-8697
pubmed:author
pubmed:issnType
Print
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
659-66
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1995
pubmed:articleTitle
Adult postrepair myelomeningocoele and tethered cord syndrome: good surgical outcome after abrupt neurological decline.
pubmed:affiliation
Department of Neurosurgery, Atkinson Morley's Hospital, London, UK.
pubmed:publicationType
Journal Article, Case Reports, Research Support, Non-U.S. Gov't