Occult Spinal Dysraphism: Clinical and Urodynamic Outcome after Division of the Filum Terminale
- 1 August 1990
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Urology
- Vol. 144 (2 Part 2), 426-428
- https://doi.org/10.1016/s0022-5347(17)39481-8
Abstract
A highly select group of 31 patients presenting with urinary incontinence failed to respond to conservative management and were found to have unstable bladders and spina bifida occulta. After thorough evaluation they were suspected of having neurogenic bladder dysfunction possibly due to a tethered cord. Following division of the filum terminale daytime incontinence resolved in 72%, urodynamic detrusor hyperreflexia disappeared in 59% and bladder compliance improved in 66% of the patients. The operation was well tolerated and did not result in any neurological complications. The clinical, radiological and urodynamic characteristics of these patients before and after treatment are reported.Keywords
This publication has 14 references indexed in Scilit:
- UrodynamicsPediatric Clinics of North America, 1987
- Short latency somatosensory-evoked potentials in children part 2 effects of spinovertebral disordersSurgical Neurology, 1987
- Extensibility of the lumbar and sacral cordJournal of Neurosurgery, 1987
- Nonneurogenic Neurogenic Bladder (The Hinman Syndrome)–15 Years LaterJournal of Urology, 1986
- Tethered Cord SyndromeThe Journal of The American Paraplegia Society, 1983
- Cortical evoked potentials following stimulation of the urinary bladder in manElectroencephalography and Clinical Neurophysiology, 1982
- Fourth Report on the Standardisation of Terminology of Lower Urinary Tract Function: Terminology related to neuromuscular dysfunction of the lower urinary tract: PRODUCED BY THE INTERNATIONAL CONTINENCE SOCIETY*British Journal of Urology, 1981
- Pathophysiology of “tethered cord syndrome”Journal of Neurosurgery, 1981
- Altered neuron population in L7 segment of dogs with experimental hind-limb rigidityAmerican Journal of Physiology-Legacy Content, 1963
- NERVE CELL DESTRUCTION BY ASPHYXIATION OF THE SPINAL CORDJournal of Neuropathology and Experimental Neurology, 1962