Ventral and dorsal tethering bands of the spinal cord in the same patient: a case report.

Childs Nerv Syst. 2019 Feb;35(2):389-391. doi: 10.1007/s00381-018-3993-5. Epub 2018 Oct 18.

Eid SIwanaga JLoukas MJerry Oakes WShane Tubbs R.


Abstract

Fibrous bands are one of the causes of tethered cord syndrome and these can be located on the dorsal or more rarely, ventral aspect of the dura mater. We report a case of dorsal and ventral tethering bands in the same patient found at surgery for tethered cord syndrome. Such fibrous bands restrict normal movement of the spinal cord and lead to a variety of neurological symptoms. To our knowledge, we report the first case of dorsal and ventral tethering bands of the spinal cord in the same patient. This case report aims to increase awareness of such anatomical variations and emphasize the importance of meticulous surgical dissection in order to identify such bands.

KEYWORDS:

De-tethering; Dorsal tethering; Meningocoele manqué; Spinal cord; Ventral tethering