Autoamputation of Fingers — A Rare Presentation of Tethered Cord after Early Repair of Cervicothoracic Myelomeningocele
Abstract Dorsal myelomeningoceles are rare but well-recognized lesions. The phenomenon of the cord tethering at the operative site several years after surgery is known. Self-mutilation of the fingers as the presenting symptom of such tethered cord is extremely rare with only one case reported in lit...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-03-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588034 |
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| author | Venkata Ramesh Chandra Vemula Chandramowliswara Prasad Bodapati Jayachandar Vuttarkar Sanjeev Akula Krishnamohan Chennati |
| author_facet | Venkata Ramesh Chandra Vemula Chandramowliswara Prasad Bodapati Jayachandar Vuttarkar Sanjeev Akula Krishnamohan Chennati |
| author_sort | Venkata Ramesh Chandra Vemula |
| collection | DOAJ |
| description | Abstract
Dorsal myelomeningoceles are rare but well-recognized lesions. The phenomenon of the cord tethering at the operative site several years after surgery is known. Self-mutilation of the fingers as the presenting symptom of such tethered cord is extremely rare with only one case reported in literature. We report a 14-year-old girl with past history of undergoing dorsal myelomeningocele repair at birth presenting with history of nonhealing ulcer at the proximal phalanx of the little finger and the absence of the middle and distal phalanges. Imaging revealed tethering of the cord at the previous surgical site. She underwent exploration of the surgical site and detethering of the cord yielding good results. The clinical, radiological, and operative findings are discussed. |
| format | Article |
| id | doaj-art-1e1f43f46a2c41ab9328f2a8209db5f3 |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-1e1f43f46a2c41ab9328f2a8209db5f32025-08-20T02:01:40ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672017-03-01060107607810.1055/s-0036-1588034Autoamputation of Fingers — A Rare Presentation of Tethered Cord after Early Repair of Cervicothoracic MyelomeningoceleVenkata Ramesh Chandra Vemula0Chandramowliswara Prasad Bodapati1Jayachandar Vuttarkar2Sanjeev Akula3Krishnamohan Chennati4Department of Neurosurgery, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, IndiaDepartment of Neurosurgery, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, IndiaDepartment of Neurosurgery, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, IndiaDepartment of Neurosurgery, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, IndiaDepartment of Neurosurgery, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, IndiaAbstract Dorsal myelomeningoceles are rare but well-recognized lesions. The phenomenon of the cord tethering at the operative site several years after surgery is known. Self-mutilation of the fingers as the presenting symptom of such tethered cord is extremely rare with only one case reported in literature. We report a 14-year-old girl with past history of undergoing dorsal myelomeningocele repair at birth presenting with history of nonhealing ulcer at the proximal phalanx of the little finger and the absence of the middle and distal phalanges. Imaging revealed tethering of the cord at the previous surgical site. She underwent exploration of the surgical site and detethering of the cord yielding good results. The clinical, radiological, and operative findings are discussed.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588034tethered cordmyelomeningocele |
| spellingShingle | Venkata Ramesh Chandra Vemula Chandramowliswara Prasad Bodapati Jayachandar Vuttarkar Sanjeev Akula Krishnamohan Chennati Autoamputation of Fingers — A Rare Presentation of Tethered Cord after Early Repair of Cervicothoracic Myelomeningocele Indian Journal of Neurosurgery tethered cord myelomeningocele |
| title | Autoamputation of Fingers — A Rare Presentation of Tethered Cord after Early Repair of Cervicothoracic Myelomeningocele |
| title_full | Autoamputation of Fingers — A Rare Presentation of Tethered Cord after Early Repair of Cervicothoracic Myelomeningocele |
| title_fullStr | Autoamputation of Fingers — A Rare Presentation of Tethered Cord after Early Repair of Cervicothoracic Myelomeningocele |
| title_full_unstemmed | Autoamputation of Fingers — A Rare Presentation of Tethered Cord after Early Repair of Cervicothoracic Myelomeningocele |
| title_short | Autoamputation of Fingers — A Rare Presentation of Tethered Cord after Early Repair of Cervicothoracic Myelomeningocele |
| title_sort | autoamputation of fingers a rare presentation of tethered cord after early repair of cervicothoracic myelomeningocele |
| topic | tethered cord myelomeningocele |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588034 |
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