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Adult tethered cord syndrome presenting with refractory diarrhoea
  1. A Marushima,
  2. A Matsumura,
  3. K Fujita,
  4. T Enomoto,
  5. T Nose
  1. Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan
  1. Correspondence to:
 Dr Akira Matsumura;
 matsumurmd.tsukuba.ac.jp

https://doi.org/10.1136/jnnp.74.11.1596

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    Adult tethered cord syndrome presenting with refractory diarrhoea

    Adult tethered cord syndrome presents with various neurological symptoms such as bladder/bowel disturbance, motor and sensory disturbance, and pain.1–7 A common bowel disturbance is constipation and incontinence, which may recover depending on the severity or duration of the symptoms.2,3 In adult tethered cord syndrome, recovery of bladder disturbance is generally only seen in patients with a relatively short clinical history; therefore early diagnosis and treatment are essential to achieve a good functional recovery.

    We present a rare case of a patient who had suffered from refractory diarrhoea for years without a definite diagnosis and who was finally found to have tethered cord syndrome after bladder symptoms became apparent.

    Case report

    A 22 year old woman was admitted to our department of gastroenterology with a complaint of severe diarrhoea which had been occurring …

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