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Erschienen in:
01.10.2004 | A Lesson Learned
Urinary incontinence in a patient with Duchenne muscular dystrophy and cord in the normal position with fatty filum terminale
Erschienen in: Child's Nervous System | Ausgabe 10/2004
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Introduction
To our knowledge, muscular dystrophy and specifically, Duchenne muscular dystrophy, has not previously been associated with gross intrathecal abnormalities.
Case report
We report a pediatric patient with Duchenne muscular dystrophy that was diagnosed a long time ago and recent onset urinary incontinence. MRI revealed a conus medullaris in a normal position with a fatty-infiltrated filum terminale. Operative intervention was performed entailing sectioning of the filum terminale. This resulted in resolution of the child’s urinary incontinence.
Conclusion
Although seemingly rare and perhaps associated by serendipity, new, unusual neurological deficits in a patient with muscular dystrophy, especially of an upper motor neuron nature, should warrant MRI to rule out pathology of the spinal cord such as tethering.