Occult dysraphism in adulthood. A series of 24 cases

R. Caruso, L. Cervoni, F. Fiorenza, A. M. Vitale, M. Salvati

Research output: Contribution to journalArticle

Abstract

The results of a retrospective study of 24 adult patients with occult dysraphism are described. There were 15 males and 9 females, with an average age of 31.1 years. Specific circumstances precipitated symptomatic onset in 67% of patients. Pain, often referred to the anorectal region, was the most common presenting symptom. Bladder and bowel dysfunction were also common findings. The most common tethering lesions were intradural lipoma and a short thickened filum terminale. Myelography revealed the diagnosis of tethered conus in most cases, but the addition of CT and MRI images provided valuable structural details. The surgical outcome was gratifying in relation to pain and sensory motor deficits but disappointing in the resolution of sphincter disorders. Our conclusion is that symptoms and/or signs of TCS with onset in adult life are not invariably irreversible.

Original languageEnglish
Pages (from-to)221-225
Number of pages5
JournalJournal of Neurosurgical Sciences
Volume40
Issue number3-4
Publication statusPublished - Sep 1996

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Keywords

  • lipoma
  • spina bifida occulta
  • spinal dysraphism

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Caruso, R., Cervoni, L., Fiorenza, F., Vitale, A. M., & Salvati, M. (1996). Occult dysraphism in adulthood. A series of 24 cases. Journal of Neurosurgical Sciences, 40(3-4), 221-225.