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allied
academies
Volume 2
June 11-13, 2018 | London, UK
Neurology and Neuroscience
6
th
International Conference on
Tethered cord syndrome of delayed onset following repair of myelomeningocele
Hamdi Nabawi Mostafa
1
, Ahmed El-Sherif
2
, Mohammed Barania
2
and
Mohammed Keshk
2
1
Misr University for Science and Technology, Egypt
2
Al-Azhar Faculty of Medicine, Egypt
Object:
Symptom response to spinal cord untethering is
poorly understood in retethering after myelomeningocele
(MMC) repair. In this study, children who developed spinal
cord tethering following myelomeiningocele repair were
included to determine the impact of untethering on symptoms.
Methods:
A review of 14 children with symptomatic spinal
cord tethering following MMC repair was performed. The
response of symptoms to re-untethering was explored.
Results:
In this study 14 patients underwent surgery were
diagnosed preoperatively as secondary spinal cord re-tethering
syndrome after repair of MMC. There were 9 males and 5
females. The presenting symptoms were cervico-dorsal pain,
brachialgia, kyphosis, deterioration of sphincteric control
and paraparesis. A tense cord in the MRI is a suggested
sign of retethering. Postoperatively, all symptoms were
either stable or improved in all patients. Postoperative
course of all cases was uneventful. There were no significant
complications except CSF leakage that was temporarily
seen in 3 cases which stopped after secondary suture.
Conclusions:
Accurate diagnosis is the main predictor of the
outcome of re-untethering. Tense cord in the MRI may be of
value indiagnosisof the retetheringRe-untetheringprocedure is
feasiblewith favourable outcome and low rate of complications.
Speaker Biography
Hamdi Nabawi Mostafa has completed his MD in neurosurgery from Cairo University
2007,
Egypt.Hewas the director of Neurosurgical department ,Nasser Institute,
Ministry of health since 2009, Egypt. He joined the faculty of medicine, Misr university
for science and Technology since June 2017 as the chief of spine unit in neurosurgical
department, Egypt. He is interested in advanced spine surgery and member of spine
master group, member of middle east spine society. He is the vice president of high
medical committee MOH, Egypt. Has many published paper mainly on spine surgery.
e:
hamdi.nabawy@gmail.com