Two cases of tethered cord syndrome associated with pedal hyperkeratotic lesions

Kazuko Doi, Shinichi Imafuku, Satoko Shibata, Akari Tashiro, Masutaka Furue

Research output: Contribution to journalArticle

Abstract

Tethered cord is defined as a low state of the conus medullaris below the second lumbar vertebra. Tethered cord syndrome is a neurological disorder caused by an abnormal stretching of the tethered cord usually seen with growth. We report two cases of tethered cord syndrome associated with pedal hyperkeratotic lesions. The first case was a 64-year-old woman who presented with dislocation of the fifth toe and hyperkeratotic lesions on the right sole. A physical examination revealed a soft normal-colored tumor on the central lower back. The second case was an 82-year-old woman with a complaint of a clavus with malum perforans pedis on the right sole. Hypesthesia of lower extremities were observed in both patients. Magnetic resonance imaging of the spine demonstrated tethered cord syndrome, which caused disturbances of skin sensation. One must be aware that chronic foot lesions, even in older patients, can be signs of neurological disorders due to spinal abnormality such as the tethered cord syndrome.

Original languageEnglish
Pages (from-to)141-144
Number of pages4
JournalNishinihon Journal of Dermatology
Volume72
Issue number2
DOIs
Publication statusPublished - 2010

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Neural Tube Defects
Foot
Nervous System Diseases
Lumbar Vertebrae
Hypesthesia
Toes
Physical Examination
Lower Extremity
Spinal Cord
Spine
Magnetic Resonance Imaging
Skin
Growth
Neoplasms

All Science Journal Classification (ASJC) codes

  • Dermatology

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Two cases of tethered cord syndrome associated with pedal hyperkeratotic lesions. / Doi, Kazuko; Imafuku, Shinichi; Shibata, Satoko; Tashiro, Akari; Furue, Masutaka.

In: Nishinihon Journal of Dermatology, Vol. 72, No. 2, 2010, p. 141-144.

Research output: Contribution to journalArticle

Doi, Kazuko ; Imafuku, Shinichi ; Shibata, Satoko ; Tashiro, Akari ; Furue, Masutaka. / Two cases of tethered cord syndrome associated with pedal hyperkeratotic lesions. In: Nishinihon Journal of Dermatology. 2010 ; Vol. 72, No. 2. pp. 141-144.
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