Based on the findings in our patient, we suggest that tethered cord be added to the list of spinal cord abnormalities.
Boop FA, Russell A, Chadduck WM: Diagnosis and management of the tethered cord syndrome.
Yamada S, Iacono RP, Andrade T, et al: Pathophysiology of tethered cord syndrome.
In 1981, Yamada and colleagues called it tethered cord syndrome, referring to two groups of patients: those with tethered spinal cord as described by Hoffman et al.
In general, the child with tethered cord syndrome presents with a variety of signs and symptoms that are not gender specific; these present as cutaneous, musculoskeletal, urologic, and neurologic manifestations.
Any cutaneous finding is an indication to obtain a magnetic resonance imaging (MRI) of that area of the spine to rule out tethered cord.