The effects of medical treatment and rehabilitation in a patient with adult tethered cord syndrome in the late postoperative period
Derya Demirbag Kabayel, Ferda Ozdemir, Ercument Unlu, Nilgun Bilgili, Sadiye Murat
Med Sci Monit 2007; 13(12): CS141-144
Background: The possibility of functional tethered cord syndrome (TCS) should be considered when adolescent patients present with unexplained lumbar, buttock, and leg symptoms. Symptoms progress if untreated. Success depends on early diagnosis, the complete untethering of the spinal cord, and rehabilitation. A rare case of adult TCS is reported.
Case Report: A 42-year-old female patient with lower back and leg pain, severe flexor reflex responses, and a walking disorder was evaluated. Gabapentin and tizanidine were given to treat the neuropathic pain and flexor reflex responses. An exercise program was applied to improve the walking disorder. Finally, the patient’s complaints of pain considerably decreased, flexor reflex responses were reduced, and a more comfortable walking motion was observed.
Conclusions: A rehabilitative approach is very important and a multidisciplinary follow-up and treatment procedure is required in the clinical healing process of all patients presenting with a tethered cord condition, whether surgical intervention is carried out or not.
Keywords: Amines - therapeutic use, Postoperative Period, Neural Tube Defects - rehabilitation, Humans, Female, Exercise Therapy, Cyclohexanecarboxylic Acids - therapeutic use, Clonidine - therapeutic use, Analgesics - therapeutic use, Adult, gamma-Aminobutyric Acid - therapeutic use