| CASE REPORT |
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| Year : 2016 | Volume
: 11
| Issue : 4 | Page : 361-363 |
Russell–Silver syndrome associated with low conus medullaris
Larisa Gabor1, Huseyin Canaz1, Gokhan Canaz2, Nursu Kara3, Ibrahim Alatas1, Hakan Bozkus1
1 Department of Neurosurgery, Sisli Florence Nightingale Hospital, Istanbul Bilim University, Istanbul, Turkey
2 Department of Neurosurgery, Haseki Training and Research Hospital, Istanbul, Turkey
3 Department of Neonatology, Sisli Florence Nightingale Hospital, Istanbul Bilim University, Istanbul, Turkey
Correspondence Address:
Gokhan Canaz
Department of Neurosurgery, Haseki Training and Research Hospital, Fatih, Istanbul 34087
Turkey
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1817-1745.199482
Russell–Silver syndrome is a rare heterogeneous disorder mainly characterized by intrauterine and postnatal growth retardation, craniofacial disproportion, clinodactyly, variation in urogenital development, and skeletal asymmetry. It is rare to come across tethered cord-associated Russell–Silver syndrome. We report a rare case of Russell–Silver syndrome associated with low conus medullaris in a 2-year-old patient with demonstrative phenotype. Magnetic resonance imaging indicated a low conus medullaris at the inferior border of the L3 vertebral body. Urodynamic study revealed detrusor-sphincter dyssynergia and detrusor overactivity. A decision to follow-up the patient was made because of the suspicion of tethered cord syndrome. Even though tethered cord syndrome is not a common finding in Russell–Silver syndrome, it is important to consider tethered cord syndrome to avoid scoliosis and other long-term complications.
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