Abstract
Background
Spinal dysraphic anomalies may be hidden beneath grotesque cutaneous stigmata, like a fully developed accessory lower limb.
Case description
Authors describe a 4-year-old boy who had socially unacceptable malformation in form of an accessory lower limb, in addition to perfectly normal both lower limbs with underlying low-lying tethered cord. Radiological studies showed underlying tethered cord and dysraphic spinal column.
Conclusion
Successful surgical correction was undertaken along with detethering of cord. The present case asks for evaluation of all cutaneous stigmata over spinal regions in newborns for spinal dysraphic states.
Similar content being viewed by others
References
Bayri Y, Tanrıkulu B, Ekşi MS, Dağçınar A (2014) Accessory lower limb associated with spina bifida: case report. Childs Nerv Syst 30(12):2123–2126
Demetriades A, Hardwidge C, Evans DJ (2008) Spina Bifida and an extra lower limb. Acta Neurochir (Wien) 150(5):511–513
Krishra A, Chandna S, Mishra NK, Gupta AK, Upadhyaya P (1989) Accessory limb associated with spinal bifida. J Pediatr Surg 24(6):604–606
Lende G, Wendemu W, Mork S, Wester K (2007) A girl with spina bifida, an extra leg, and ectopic intestinal loops--a “foetus in foetu” or a whim of the neural crest? Acta Neurochir (Wien) 149:1071–1075
Mohindra S (2007) The ‘human tail’ causing tethered cervical cord. Spinal Cord 45(8):583–585
Park KB, Kim YM, Park JY, Chung ML, Jung YJ, Nam SH (2014) An accessory limb with an imperforate anus. Ann Surg Treat Res 87:213–216
Saaiq M, Zimri FK, Zaman KU (2020) Successful treatment of well-developed accessory lower limb associated with spinal dysraphism. World J Plast Surg 9(1):73–81
Talwalker VC, Dastur DK (1990) Accessory limb associated with spina bifida. J Pediatr Surg 25(5):583
Zhao L, Li MQ, Sun XT, Ma ZS, Guo G, Huang YT (2006) Congenital lumbosacral limb duplication: a case report. J OrthopSurg (Hong Kong) 14:187–191
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Mohindra, S., Batish, A., Patil, N.R. et al. Fully developed accessory lower limb with tethered cord: Are these two anomalies related?. Childs Nerv Syst 37, 325–328 (2021). https://doi.org/10.1007/s00381-020-04616-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-020-04616-4