TETHERED CORD SYNDROME - AN UNUSUAL CAUSE OF ADULT BLADDER DYSFUNCTION

Tethered cord syndrome is a complication of spinal dysraphism. The tet hering of the cord does not permit the normal cranial migration of the conus within the vertebral canal and this results in neural dysfuncti on due to a traction neuropathy. Although this condition commonly pres ents in childhood, less severe degrees of tethering may remain asympto matic until adult life. The clinical features, imaging and management of 5 adults with this condition are reviewed. Both urological and neur osurgical intervention are aimed at preservation of function as, unlik e the sensorimotor deficit that commonly complicates this condition, i mprovement in bladder function is uncommon following cord release.