caa a22 4500 463180275 CHVBK 20180406164837.0 cr unu---uuuuu 170326e20071001xx s 000 0 eng 10.1007/s00381-007-0376-8 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0376-8 Tight filum terminale syndrome in children: analysis based on positioning of the conus and absence or presence of lumbosacral lipoma [Elektronische Daten] [Nan Bao, Zhi-Hua Chen, Shuo Gu, Qi-Min Chen, Hui-Ming Jin, Cheng-Ren Shi] Background: Tight filum terminale syndrome (TFTS) characterized by findings consistent with a tethered cord but with the conus ending in a normal position has only recently been observed in children. In this situation, diagnosis may prove difficult and sectioning of the filum terminale is questionable. Materials and methods: Sixty cases of pediatric TFTS were analyzed by methods including spinal X-ray and magnetic resonance imaging (MRI). Twenty-one patients exhibited a normally positioned conus, 18 a low-lying conus, and 21 a low-lying conus with accompanying lumbosacral lipoma. These three groups were compared preoperatively and postoperatively for lumbosacral cutaneous stigmata, vertebral anomalies, concomitant congenital spinal dysraphisms, lower limb deformities, and sphincter dysfunction. Results: Rates of occurrence of lumbosacral cutaneous stigmata and other concomitant congenital spinal dysraphisms differed significantly among the groups. Differences in other parameters were not observed. All groups responded positively to surgery. Conclusions: Pediatric TFTS may involve a normally positioned conus. Diagnosis of pediatric TFTS should be based on clinical presentation, physical and radiological examinations, MRI, and pathologic changes in the filum. When neurological signs accompany such changes, early severing of the filum is indicated regardless of conus position. Springer-Verlag, 2007 Tight filum terminale syndrome nationallicence Diagnosis nationallicence Surgical treatment nationallicence Children nationallicence Bao Nan Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut Chen Zhi-Hua Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut Gu Shuo Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut Chen Qi-Min Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut Jin Hui-Ming Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut Shi Cheng-Ren Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut Child's Nervous System Springer-Verlag 23/10(2007-10-01), 1129-1134 0256-7040 23:10<1129 2007 23 381 https://doi.org/10.1007/s00381-007-0376-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0376-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bao Nan Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut NATIONALLICENCE 700 1- Chen Zhi-Hua Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut NATIONALLICENCE 700 1- Gu Shuo Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut NATIONALLICENCE 700 1- Chen Qi-Min Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut NATIONALLICENCE 700 1- Jin Hui-Ming Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut NATIONALLICENCE 700 1- Shi Cheng-Ren Department of Pediatric Neurosurgery, Shanghai Children's Medical Center/Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1678 Dongfang Road, Pudong, 200127, Shanghai, China aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/10(2007-10-01), 1129-1134 0256-7040 23:10<1129 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer