An Unusual Presentation of Adult Tethered Cord Syndrome Associated with Severe Chest and Upper Back Pain
Adult tethered cord syndrome (ATCS) is a rare entity that usually presents with multiple neurological symptoms, including lower extremity pain, backache, lower extremity muscle weakness, and bowel/bladder disturbances. Prompt surgical treatment is often necessary to avoid permanent sequelae. We repo...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/926185 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832567352379572224 |
|---|---|
| author | Shotaro Kanda Toru Akiyama Hirotaka Chikuda Takehiko Yamaguchi Kazuo Saita |
| author_facet | Shotaro Kanda Toru Akiyama Hirotaka Chikuda Takehiko Yamaguchi Kazuo Saita |
| author_sort | Shotaro Kanda |
| collection | DOAJ |
| description | Adult tethered cord syndrome (ATCS) is a rare entity that usually presents with multiple neurological symptoms, including lower extremity pain, backache, lower extremity muscle weakness, and bowel/bladder disturbances. Prompt surgical treatment is often necessary to avoid permanent sequelae. We report a 63-year-old man with sudden-onset severe right chest and upper back pain, followed by urinary retention. His initial workup included computed tomography of the abdomen and pelvis, which showed a presacral mass. His symptom-driven neurological workup focused on the cervical and thoracic spine, the results of which were normal. Pelvic radiographs and magnetic resonance imaging of the lumbosacral spine showed spina bifida occulta, meningocele, and presacral masses consistent with a teratomatous tumor. His symptoms, except for urinary retention, improved dramatically with surgical treatment. The excised specimen contained a teratomatous lesion plus an organized hematoma. Hematoma formation was suspected as the trigger of his sudden-onset right chest and upper back pain. |
| format | Article |
| id | doaj-art-09bbca660b4a4ca58fae167ca1ff9ff3 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-09bbca660b4a4ca58fae167ca1ff9ff32025-02-03T01:01:44ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/926185926185An Unusual Presentation of Adult Tethered Cord Syndrome Associated with Severe Chest and Upper Back PainShotaro Kanda0Toru Akiyama1Hirotaka Chikuda2Takehiko Yamaguchi3Kazuo Saita4Department of Orthopaedic Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya-ku, Saitama 330-8503, JapanDepartment of Orthopaedic Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya-ku, Saitama 330-8503, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Pathology, Dokkyo Medical University Koshigaya Hospital, No. 1-50, 2-Chome, Minami-Koshigaya, Koshigaya-shi, Saitama 343-8555, JapanDepartment of Orthopaedic Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya-ku, Saitama 330-8503, JapanAdult tethered cord syndrome (ATCS) is a rare entity that usually presents with multiple neurological symptoms, including lower extremity pain, backache, lower extremity muscle weakness, and bowel/bladder disturbances. Prompt surgical treatment is often necessary to avoid permanent sequelae. We report a 63-year-old man with sudden-onset severe right chest and upper back pain, followed by urinary retention. His initial workup included computed tomography of the abdomen and pelvis, which showed a presacral mass. His symptom-driven neurological workup focused on the cervical and thoracic spine, the results of which were normal. Pelvic radiographs and magnetic resonance imaging of the lumbosacral spine showed spina bifida occulta, meningocele, and presacral masses consistent with a teratomatous tumor. His symptoms, except for urinary retention, improved dramatically with surgical treatment. The excised specimen contained a teratomatous lesion plus an organized hematoma. Hematoma formation was suspected as the trigger of his sudden-onset right chest and upper back pain.http://dx.doi.org/10.1155/2015/926185 |
| spellingShingle | Shotaro Kanda Toru Akiyama Hirotaka Chikuda Takehiko Yamaguchi Kazuo Saita An Unusual Presentation of Adult Tethered Cord Syndrome Associated with Severe Chest and Upper Back Pain Case Reports in Orthopedics |
| title | An Unusual Presentation of Adult Tethered Cord Syndrome Associated with Severe Chest and Upper Back Pain |
| title_full | An Unusual Presentation of Adult Tethered Cord Syndrome Associated with Severe Chest and Upper Back Pain |
| title_fullStr | An Unusual Presentation of Adult Tethered Cord Syndrome Associated with Severe Chest and Upper Back Pain |
| title_full_unstemmed | An Unusual Presentation of Adult Tethered Cord Syndrome Associated with Severe Chest and Upper Back Pain |
| title_short | An Unusual Presentation of Adult Tethered Cord Syndrome Associated with Severe Chest and Upper Back Pain |
| title_sort | unusual presentation of adult tethered cord syndrome associated with severe chest and upper back pain |
| url | http://dx.doi.org/10.1155/2015/926185 |
| work_keys_str_mv | AT shotarokanda anunusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain AT toruakiyama anunusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain AT hirotakachikuda anunusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain AT takehikoyamaguchi anunusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain AT kazuosaita anunusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain AT shotarokanda unusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain AT toruakiyama unusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain AT hirotakachikuda unusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain AT takehikoyamaguchi unusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain AT kazuosaita unusualpresentationofadulttetheredcordsyndromeassociatedwithseverechestandupperbackpain |