The First Case of Tethered cord Diagnosed at the PK9 Army Hospital, Libreville.
DOI :
https://doi.org/10.5281/hra.v2i3.5319Mots-clés :
Tethered cord, lower back pain, urological disorders, MRIRésumé
RÉSUMÉ
Le syndrome de moelle attachée est rare et dû à une croissance de la colonne vertébrale supérieure à celle de la moelle. Il entraine des symptômes évolutifs aspécifiques, rachidiens et urologiques. Une femme de 20 ans avait été admise à l’Hôpital militaire du PK9 pour incontinence urinaire et lombalgies progressives. Elle avait bénéficié d’une IRM qui avait permis de poser le diagnostic de moelle attachée basse. La moelle attachée basse fait partie du panel diagnostique chez tout patient présentant une histoire progressive de lombalgies associées à des troubles urinaires avec un examen normal par ailleurs.
ABSTRACT
Tethered cord syndrome is a rare condition caused by the spinal column growing faster than the cord. It causes non specific spinal and urological symptoms. A 20-year-old woman was admitted to the PK9 Military Hospital with urinary incontinence and progressive low back pain. She underwent an MRI scan, which led to the diagnosis of a low-lying attached cord. Low attached cord should be evoked in any patient presenting with a progressive history of low back pain associated with urinary disorders with an otherwise normal examination.
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