A Case of Tethered Cord Syndrome Manifested with a Neurotrophic Ulcer.
10.5021/ad.1995.7.4.346
- Author:
Dae Young KIM
;
Seung Chul LEE
;
Young Ho WON
;
Inn Ki CHUN
- Publication Type:Case Report
- Keywords:
Neurotrophic ulcer;
Tethered cord syndrome
- MeSH:
Adolescent;
Anti-Bacterial Agents;
Bandages;
Buttocks;
Central Nervous System;
Female;
Heel;
Humans;
Hypesthesia;
Lipoma;
Neural Tube Defects*;
Neurologic Examination;
Parturition;
Skin;
Spinal Dysraphism;
Transcutaneous Electric Nerve Stimulation;
Ulcer*;
X-Ray Film;
Zinc Oxide
- From:Annals of Dermatology
1995;7(4):346-349
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report herein a case of tethered cord syndrome with recurrent ulcerations of the skin in a 17-year-old girl. The patient presented an asymptomatic punched-out deep ulcer on the right buttock and right heel. The lesions were noticed as bullae on the sites, which developed into ulceration. At birth, a reddish nodule was noted on the lower back, which was excised when she was 3 years old at a private clinic. Neurological examination revealed hypoesthesia below the LS dermatome. We suspected a simple neurotrophic ulcer which was treated with zinc oxide dressing and oral antibiotics. 1 month later, the ulcers had healed, but tense bullae had developed on the same right buttock. Spina bifida with intraspinal lipoma was revealed by plain X-ray film and magnetic resonance imgaing. Tethered cord syndrome was diagnosed, and treated with a surgical excision of the lipoma, and repair of the dura. This is a vary rare etiology of a neurotrophic ulcer due to a central nervous system disease, and is the first reported case in the Korean dermatologic literature.
