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J Electrodiagn Neuromuscul Dis > Volume 20(2); 2018 > Article
J Korean Assoc EMG Electrodiagn Med 2018;20(2):119-123.
DOI: https://doi.org/10.18214/jkaem.2018.20.2.119    Published online December 30, 2018.
Unilateral Pes Cavus as an lnitial Sign of Tethered Cord Syndrome in an Adolescent: A Case Report
Received: 7 May 2018   • Revised: 28 June 2018   • Accepted: 3 July 2018
Abstract
A 14-year-old student presented with a 2-year history of progressive left foot deformity. High elevated medial arch, hindfoot varus deformity and second to fourth claw toes were idenfied in the left foot without a familial history. Neurologic examinations showed left distal lower extremity weakness and bilateral increased deep tendon reflexes. MRI of whole spine demonstrated thickened filum terminale and spinal defect covered with pulled skin which findings consistent with tethered cord syndrome (TCS). He was referred to neurosurgery department and had a detethering operation of the spinal cord. Two years later, he underwent foot surgery because his foot deformity progressed despite the detethering operation. It is very rare for TCS to present with pes cavus as the only symptom, also in Korea. We suggest that TCS should be considered as one of the differential diagnoses associated with unilateral pes cavus in adolescence so as not to miss the proper period of surgery.
Key Words: spinal dysraphism, tethered cord syndrome, foot deformities


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