Tethered cord syndrome in children and adults

Written by renowned specialists, the second edition of __Tethered Cord Syndrome in Children and Adults__ is a comprehensive text on the essentials of clinical management for this complex disorder. The book opens with chapters on embryology and pathophysiology to provide clinicians with a solid understanding of the basic science of tethered cord syndrome (TCS). Incorporating the latest standards in neurologic examinations and imaging procedures, the book then discusses the functional diagnosis of TCS. Throughout the book, the authors provide insightful discussion of how to distinguish this disorder from others with similar symptoms and imaging findings. The final chapter summarizes current medical and surgical treatments of TCS, describing methods for preventing progressive and permanent deficits. **Highlights:** * Delineates the three categories of "cord tethering" to aid effective management * Discusses such important topics as in-utero surgical myelomeningocele repair and TCS-related aspects of clinical urology * Provides expanded coverage of the treatment of adults with severe back and leg pain * Covers management of late teenage patients whose care between childhood and adulthood is frequently interrupted * Features more than 200 high-quality clinical photographs, radiographic images, and diagrams to illustrate key concepts The only reference dedicated to optimizing the management of TCS, this book is an invaluable resource for residents and clinicians in neurosurgery and neurology as well as other specialists caring for patients of all ages with TCS. __(A co-publication of Thieme and the American Association of Neurological Surgeons)__ Content: Introduction to the tethered cord syndrome / Shokei Yamada -- Normal spinal cord development and the embryogenesis of spinal cord tethering malformations / Mark S. Dias and Elias B. Rizk -- Pathophysiology of the tethered cord syndrome / Shokei Yamada ... [et al.] -- Neurologic assessment of tethered spinal cord / Sanford Schneider -- Imaging of tethered spinal cord / David B. Hinshaw ... [et al.] -- Ultrasonographic evaluation of tethered cord syndrome / Marvin D. Nelson Jr -- Urological aspect of tethered cord syndrome I : lower urinary tract dysfunction in tethered cord syndrome / H. Roger Hadley ... [et al.] -- Urological aspect of tethered cord syndrome II : clinical experience in urological involvement with tethered cord syndrome / Antoine E. Khoury -- The cervical tethered spinal cord / Kenji Muro, Arthur J. DiPatri Jr., and David G. McLone -- Indication and treatment of tethered spinal cord / James M. Drake and Harold J. Hoffman. Tethered cord syndrome associated with myelomeningoceles and lipomyelomeningoceles / Shokei Yamada ... [et al.] -- The role of folate supplementation in spina bifida occulta / Elias Rizk and Bermans J. Iskandar -- In utero repair of myelomeningoceles / Nalin Gupta -- Epidermoid and dermoid tumors associated with tethered cord syndrome / David S. Knierim, Daniel J. Won, and Shokei Yamada -- Tethered cord syndrome in adult and late-teenage patients without neural spinal dysraphism / Shokei Yamada ... [et al.] -- Tethered cord syndrome in adults with spina bifida occulta / Sharad Rajpal, Samir B. Lapsiwala, and Bermans J. Iskandar -- The normal position of the conus medullaris does not exclude a tethered spinal cord / R. Shane Tubbs and W. Jerry Oakes -- Anomalies of the spinal cord length and filum thickness / Shokei Yamada, Javed Siddiqi, and Shoko M. Yamada -- Intraoperative neurophysiological monitoring of the lower sacral nerve roots and spinal cord / Dachling Pang -- Clinical neurophysiology of tethered cord syndrome and other dysraphic syndromes / Robin L. Gilmore, Sun Ik Lee, and John Walsh -- Conservative versus surgical treatment and prognostic evaluation for tethered cord syndrome / Shokei Yamada ... [et al.]. Introduction to the tethered cord syndrome / Shokei Yamada Normal spinal cord development and the embryogenesis of spinal cord tethering malformations / Mark S. Dias and Elias B. Rizk Pathophysiology of the tethered cord syndrome / Shokei Yamada ... [et al.] Neurologic assessment of the tethered spinal cord / Sanford Schneider Imaging of the tethered spinal cord / David H. Hinshaw ... [et al.] Ultrasound evaluation of the tethered cord syndrome / Marvin D. Nelson Jr Urological aspect of the tethered cord syndrome I : lower urinary tract dysfunction in tethered cord syndrome / H. Roger Hadley ... [et al.] Urological aspect of the tethered cord syndrome II : clinical experience in urological involvement with tethered cord syndrome / Antoine E. Khoury The cervical tethered spinal cord / Kenji Muro, Arthur J. DiPatri Jr., and David G. McLone Indication and treatment of the tethered spinal cord / James M. Drake and Harold J. Hoffman Tethered cord syndrome associated with myelomeningoceles and lipomyelomeningoceles / Shokei Yamada ... [et al.] The role of folate supplementation in spina bifida occulta / Elias Rizk and Bermans J. Iskandar In-utero repair of myelomeningoceles / Nalin Gupta Epidermoid and dermoid tumors associated with tethered cord syndrome / David Knierim, Daniel J. Won, and Shokei Yamada Tethered cord syndrome in adult and teenage patients without neural spinal dysraphism / Shokei Yamada ... [et al.] Tethered cord syndrome in adults with spina bifida occulta / Sharad Rajpal, Samir B. Lapsiwala, and Bermans J. Iskandar The normal position of the conus medullaris does not exclude a tethered spinal cord / R. Shane Tubbs and W. Jerry Oakes Anomalies of the spinal cord length and filum thickness / Shokei Yamada, Javed Siddiqi, and Shoko M. Yamada Intraoperative neurophysiological monitoring of the lower sacral nerve roots and spinal cord / Dachling Pang The clinical neurophysiology of tethered cord syndrome and other dysraphic syndromes / Robin L. Gilmore, Sun Ik Lee, and John Walsh Conservative versus surgical treatment and prognostic evaluation for tethered cord syndrome / Shokei Yamada ... [et al.].

Written by renowned specialists, this second edition is a comprehensive text on the essentials of the clinical management of TCS and is the only reference dedicated to optimizing the management of this complex disorder.

Doody Review Services

Reviewer:Celso Agner, MD, MSc(University of Illinois at Chicago College of Medicine)
Description:Since the first edition of this book in 1996, many diagnostic, technological, and neurosurgical technical advances in the treatment of tethered cord syndrome in children and adults have occurred. This new edition accurately addresses those changes.
Purpose:The purpose is to explain the recent developments in the clinical, radiological, and neurosurgical areas involved in the management of tethered cord syndrome.
Audience:Neurologists, neurosurgeons, orthopedic surgeons, and radiologists are the targeted audience. Dr Yamada has studied the topic extensively throughout the years and is one of the leading experts in the field.
Features:The first few chapters are similar to the previous edition since they cover the definition, diagnosis, and clinical presentation of tethered cord syndrome, including the initial controversies surrounding its naming. This edition updates the field with current studies related to imaging and diagnostic tools such as newer MRI sequences and 3D reconstruction of the spine. The book spends a good deal of time on the urological aspects of tethered cord, medical management, and indications for neurosurgical management. It adds new information on image-guided and minimally invasive surgeries, and intraoperative neurophysiologic monitoring in patients.
Assessment:Over 40 authors contribute to the 21 chapters in this excellent revision, which is suitable for neurology, neurosurgery, and radiology libraries.

Tethered Cord Syndromein Children and Adults 1 Title Page 4 Copyright 5 Contents 8 Continuing Medical Education Credit Information and Objectives 10 Continuing Medical Education Disclosure 11 Foreword to the First Edition 12 Foreword to the Second Edition 14 Preface 16 Acknowledgments 17 Contributors 20 1 Introduction to Tethered Cord Syndrome 24 2 Normal Spinal Cord Development and the Embryogenesis of Spinal Cord Tethering Malformations 28 3 Pathophysiology of Tethered Cord Syndrome 42 4 Neurological Assessment of Tethered Spinal Cord 66 5 Imaging of Tethered Spinal Cord 74 6 Ultrasonographic Evaluation of Tethered Cord Syndrome 88 7 Urological Aspect of Tethered Cord Syndrome I: Lower Urinary Tract Dysfunction in Tethered Cord Syndrome 97 8 Urological Aspect of Tethered Cord Syndrome II: Clinical Experience in Urological Involvement with Tethered Cord Syndrome 109 9 The Cervical Tethered Spinal Cord 125 10 Indication and Treatment of Tethered Spinal Cord 133 11 Tethered Cord Syndrome Associated with Myelomeningoceles and Lipomyelomeningoceles 142 12 The Role of Folate Supplementation in Spina Bifida Occulta 165 13 In Utero Repair of Myelomeningoceles 168 14 Epidermoid and Dermoid Tumors Associated with Tethered Cord Syndrome 176 15 Tethered Cord Syndrome in Adult and Late-teenage Patients without Neural Spinal Dysraphism 185 16 Tethered Cord Syndrome in Adults with Spina Bifida Occulta 203 17 The Normal Position of the Conus Medullaris Does Not Exclude a Tethered Spinal Cord 213 18 Anomalies of Spinal Cord Length and Filum Thickness 219 19 Intraoperative Neurophysiological Monitoring of the Lower Sacral Nerve Roots and Spinal Cord 222 20 Clinical Neurophysiology of Tethered Cord Syndromeand Other Dysraphic Syndromes 233 21 Conservative versus Surgical Treatment and Prognostic Evaluation for Tethered Cord Syndrome 250 Index 272

A new edition of the definitive reference for the diagnosis and treatment of TCS

Written by renowned specialists, the second edition of Tethered Cord Syndrome in Children and Adults is a comprehensive text on the essentials of clinical management for this complex disorder. The book opens with chapters on embryology and pathophysiology to provide clinicians with a solid understanding of the basic science of tethered cord syndrome (TCS). Incorporating the latest standards in neurologic examinations and imaging procedures, the book then discusses the functional diagnosis of TCS. Throughout the book, the authors provide insightful discussion of how to distinguish this disorder from others with similar symptoms and imaging findings. The final chapter summarizes current medical and surgical treatments of TCS, describing methods for preventing progressive and permanent deficits.

Highlights:

• Delineates the three categories of "cord tethering" to aid effective management
• Discusses such important topics as in-utero surgical myelomeningocele repair and TCS-related aspects of clinical urology
• Provides expanded coverage of the treatment of adults with severe back and leg pain
• Covers management of late teenage patients whose care between childhood and adulthood is frequently interrupted
• Features more than 200 high-quality clinical photographs, radiographic images, and diagrams to illustrate key concepts

The only reference dedicated to optimizing the management of TCS, this book is an invaluable resource for residents and clinicians in neurosurgery and neurology as well as other specialists caring for patients of all ages with TCS.

(A co-publication of Thieme and the American Association of Neurological Surgeons) Written by renowned specialists, the second edition of Tethered Cord Syndrome in Children and Adults is a comprehensive text on the essentials of clinical management for this complex disorder. The book opens with chapters on embryology and pathophysiology to provide clinicians with a solid understanding of the basic science of tethered cord syndrome (TCS). Incorporating the latest standards in neurologic examinations and imaging procedures, the book then discusses the functional diagnosis of TCS. Throughout the book, the authors provide insightful discussion of how to distinguish this disorder from others with similar symptoms and imaging findings. The final chapter summarizes current medical and surgical treatments of TCS, describing methods for preventing progressive and permanent deficits. Highlights: Delineates the three categories of "cord tethering" to aid effective management Discusses such important topics as in-utero surgical myelomeningocele repair and TCS-related aspects of clinical urology Provides expanded coverage of the treatment of adults with severe back and leg pain Covers management of late teenage patients whose care between childhood and adulthood is frequently interrupted Features more than 200 high-quality clinical photographs, radiographic images, and diagrams to illustrate key concepts The only reference dedicated to optimizing the management of TCS, this book is an invaluable resource for residents and clinicians in neurosurgery and neurology as well as other specialists caring for patients of all ages with TCS. (A co-publication of Thieme and the American Association of Neurological Surgeons)