Abstract
Tethered cord syndrome (TCS) is a stretch-induced functional disorder of the lumbosacral spinal cord caused by excessive tension between the ligaments and an inelastic structure anchoring caudal end. Its presentations vary according to different ages and underlying pathologic conditions. Changes in the lumbosacral ligamentous laxity with pregnancy as well as the prolonged lithotomy position in childbirth can cause stretching of the conus medullaris. Lumbosacral imaging should be obtained for all patients such as MRI. Neuraxial techniques can be used in selected parturients with TCS.
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References
Michelson DJ, Ashwal S. Tethered cord syndrome in childhood: diagnostic features and relationship to congenital anomalies. Neurol Res. 2004;26(7):745–53.
Yamada S, et al. Pathophysiology of tethered cord syndrome and other complex factors. Neurol Res. 2004;26(7):722–6.
Hertzler DA 2nd, et al. Tethered cord syndrome: a review of the literature from embryology to adult presentation. Neurosurg Focus. 2010;29(1):E1.
Jackson AB, Mott PK. Reproductive health care for women with spina bifida. Sci World J. 2007;7:1875–83.
Tu A, Steinbok P. Occult tethered cord syndrome: a review. Childs Nerv Syst. 2013;29(9):1635–40.
Chowdhury T, Chowdhury M, Schaller B, Cappellani RB, Daya J. Perioperative considerations for neurosurgical procedures in the gravid patient: continuing professional development. Can J Anaesth. 2013;60(11):1139–55.
Lew SM, Kothbauer KF. Tethered cord syndrome: an updated review. Pediatr Neurosurg. 2007;43(3):236–48.
Murphy CJ, et al. Spinal dysraphisms in the parturient: implications for perioperative anaesthetic care and labour analgesia. Int J Obstet Anesth. 2015;24(3):252–63.
Roberts ND, May AE. Regional anesthesia and spina bifida. Int J Obstet Anesth. 2002;11:12.
Palanisamy A, Klickovich RJ, Ramsay M, Ouyang DW, Tsen LC. Intravenous dexmedetomidine as an adjunct for labor analgesia and cesarean delivery anesthesia in a parturient with a tethered spinal cord. Int J Obstet Anesth. 2009;18:258–61.
Liu JJ, Guan Z, Gao Z, Xiang L, Zhao F, Huang SL. Complications after spinal anesthesia in adult tethered cord syndrome. Medicine. 2016;95(29):e4289.
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Liang, M., Zhou, J. (2018). Tethered Cord Syndrome. In: Mankowitz, S. (eds) Consults in Obstetric Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-59680-8_156
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DOI: https://doi.org/10.1007/978-3-319-59680-8_156
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