Images in clinical medicine | Volume 40, Article 20, 08 Sep 2021 | 10.11604/pamj.2021.40.20.31405

Tethering of the spinal cord in cervical region in adult male patient

Neha Vinay Chitale, Mitushi Kishorrao Deshmukh

Corresponding author: Neha Vinay Chitale, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

Received: 26 Aug 2021 - Accepted: 05 Sep 2021 - Published: 08 Sep 2021

Domain: Neurology (general)

Keywords: Tethering of spine, myelomeningocele, rehabilitation

©Neha Vinay Chitale et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Neha Vinay Chitale et al. Tethering of the spinal cord in cervical region in adult male patient. Pan African Medical Journal. 2021;40:20. [doi: 10.11604/pamj.2021.40.20.31405]

Available online at: https://www.panafrican-med-journal.com/content/article/40/20/full

Home | Volume 40 | Article number 20

Images in clinical medicine

Tethering of the spinal cord in cervical region in adult male patient

Tethering of the spinal cord in cervical region in adult male patient

Neha Vinay Chitale1,&, Mitushi Kishorrao Deshmukh2

 

1Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India, 2Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Sawangi (M), Wardha, Maharashtra, India

 

 

&Corresponding author
Neha Vinay Chitale, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

 

 

Image in medicine    Down

We report a case of a 31-year-old male, came to the medicine department with complains of pain and numbness in upper limb and cervical region. On clinical examination fatty lump was seen in cervical region and muscles had decreased tone. Investigations were done. Magnetic resonance imaging (MRI) showed abnormal mass at C5-C6-C7 level in spinal cord region (A). Initially MRI was taken for cervical region from lateral as well as posterior aspect considering the findings, MRI was repeated to see any involvement in lumbar region (B). No significant abnormality was seen in lumbar region, vertebral bodies showed wedging in the cervical region and fatty mass was seen. The patient was then admitted for this purpose and surgery was planned. Detethering of the spinal cord in cervical region was planned. Myelomeningocele correction was done. Complications of the surgery include cerebrospinal leakage and bladder dysfunction. This patient showed no complications post operatively and was referred to physiotherapy department. The primary goal of the physiotherapist was to prevent secondary complications and to increase the strength of muscles. Special care was taken for cervical region as the patient was post-operative, cervical collar was given and the patient was ambulated on post-operative day 5.

 

 

Figure 1: (A,B) tethering of spine in cervical region

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Tethering of the spinal cord in cervical region in adult male patient

Images in clinical medicine

Tethering of the spinal cord in cervical region in adult male patient

Images in clinical medicine

Tethering of the spinal cord in cervical region in adult male patient

Volume 40 (Sep - Dec 2021)
This article authors
On Pubmed
On Google Scholar
Citation [Download]
Zotero
EndNote XML
Reference Manager
BibTex
ProCite

Navigate this article
Similar articles in
Key words

Tethering of spine

Myelomeningocele

Rehabilitation

Article metrics
Countries of access