Urinary incontinence in a patient with Duchenne muscular dystrophy and cord in the normal position with fatty filum terminale.

Academic Article

Abstract

  • 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.
  • Authors

    Published In

    Keywords

  • Adolescent, Cauda Equina, Fats, Humans, Magnetic Resonance Imaging, Male, Muscular Dystrophy, Duchenne, Urinary Incontinence
  • Digital Object Identifier (doi)

    Author List

  • Tubbs RS; Oakes WJ
  • Start Page

  • 717
  • End Page

  • 719
  • Volume

  • 20
  • Issue

  • 10