Guest guest Posted July 9, 2004 Report Share Posted July 9, 2004 Brande, Since the surgery, we have had a chance to talk with Sydney's neurosurgeon and he said she does not have spina bifida. He said hers was simply a filum terminale and will not retether. He also mentioned that he has heard of adults having detethering for this filum terminale and in his opinion it is unnecessary, that it is a situation that only needs correcting in infants. I can tell you that Sydney is sooo much better even the day after her surgery. Up to even the day before the surgery she was walking and tripping over her own feet constantly...taking only 3-4 steps then falling, getting up and falling again, all day long. Then she would obviously become fatigued and need to rest, either laying down or being held. Just as a reminder, she was 16 months old last month when she had her detethering surgery. Surgery on Monday morning and home Wednesday morning...walking, almost running, playing and not tripping over her feet at all. We are amazed! She obviously is not becoming fatigued and can easily keep up now with her 2 1/2 year old sister. I just love the support of this group and all the sharing with one another! -------------- Original message -------------- Generally speaking, I would have to say that there is no correlation. It might be more of a possiblity if it was higher up. Or if there are other Conditions involved. But now that I see she *might* have Spina Bifida (at the beginning I was only speaking of Tethered Cord), it is more possible that she does have other Conditions involved, which can make it more likely that the Speech *Delay* might be caused by all of this. They should be able to tell if she has Spina Bifida by an MRI. Keep us updated. Me Nebraska, USA mymocha@... > I would like to ask if there is any correlation between tethered cord and speech development. Is there any relationship to this condition and speech delay? > I guess what I'm asking is, could there be other problems associated with this tethering if it is tethered higher up on the cord? > > Also, when we went in for her pre op blood work, they considered her having spina bifida, although her doc said it was only " in the family " of spina bifida. We do not know. Does she have spina bifida occulta and how do we know? > Not Medical Advice. We Are Not Doctors. Need help with the list? Email kathy@...,michelle@..., rick@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 9, 2004 Report Share Posted July 9, 2004 Dear , can I just pass on my opinion that your nsg is *SO* wrong about " simply a filum terminale ... He also mentioned that he has heard of adults having detethering for this filum terminale and in his opinion it is unnecessary, that it is a situation that only needs correcting in infants. " I had a " simple filum detethering " aged 35, as all the deterioration in the condition of my cord (not my feet) occurred from the age of 33. I had no surgery as a child. It was totally necessary to be done as an adult as my cord was being more and more stretched, starved of oxygen and only last week my nsg told me that I had about 6 months left of walking if I had not had it detethered when I did. It would be fortunate, and an ideal world, if all infants with a simple filum tethering were operated on when small, but in the 1960s tethered cords and the surgery were not even heard of, and I had to learn the hard way what the tethering does to feet, legs, pain etc etc. Good to hear that your little girl has benefitted from the surgery - hope she continues to improve Regards Nina Bristol, UK Quoting lefondren@...: > Brande, > Since the surgery, we have had a chance to talk with Sydney's > neurosurgeon and he said she does not have spina bifida. He said hers > was simply a filum terminale and will not retether. He also mentioned > that he has heard of adults having detethering for this filum > terminale and in his opinion it is unnecessary, that it is a > situation that only needs correcting in infants. I can tell you that > Sydney is sooo much better even the day after her surgery. Up to even > the day before the surgery she was walking and tripping over her own > feet constantly...taking only 3-4 steps then falling, getting up and > falling again, all day long. Then she would obviously become fatigued > and need to rest, either laying down or being held. Just as a > reminder, she was 16 months old last month when she had her > detethering surgery. Surgery on Monday morning and home Wednesday > morning...walking, almost running, playing and not tripping over her > feet at all. We are amazed! She obviously is not becoming fatigued > and can easily keep up now with her 2 1/2 year old sister. > I just love the support of this group and all the sharing with one > another! > > > > -------------- Original message -------------- > Generally speaking, I would have to say that there is no > correlation. It might be more of a possiblity if it was higher up. Or > if > there are other Conditions involved. But now that I see she *might* > have > Spina Bifida (at the beginning I was only speaking of Tethered Cord), > it is > more possible that she does have other Conditions involved, which can > make > it more likely that the Speech *Delay* might be caused by all of > this. > > They should be able to tell if she has Spina Bifida by an MRI. > > Keep us updated. > > Me > Nebraska, USA > mymocha@... > > > > I would like to ask if there is any correlation between tethered > cord and > speech development. Is there any relationship to this condition and > speech > delay? > I guess what I'm asking is, could there be other problems > associated with this tethering if it is tethered higher up on the > cord? > > > > Also, when we went in for her pre op blood work, they considered > her > having spina bifida, although her doc said it was only " in the > family " of > spina bifida. We do not know. Does she have spina bifida occulta and > how do > we know? > > > > > > > Not Medical Advice. We Are Not Doctors. > Need help with the list? Email > kathy@...,michelle@..., > rick@... > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2004 Report Share Posted July 10, 2004 Nina, Of course I appreciate you sharing your opinion. I am amazed at all the differin gopinions on this subject. Differing at levels among NSG and among patients as well. I know you are right about the 60's and probably no one even knowing about this condition. I have a friend who has horrible, horrible back pain and spasms and also has sever hammer toes. I would bet that he too suffers from tethered cord. He was born in the 50's and I doubt that he has ever had a check by a nerologist or an MRI. Since he drives a truck, the back pain is associated with the prolonged hours of sitting behind the wheel. He also has extreme urgency for urination at times which I always thought was odd. He would say " I have to go NOW " , and he really meant it. Perhaps that is also part of the symptoms. I am tempted to write and tell him of this tetherd cord and perhaps asking him to try and get a medical ruling on it. Thanks again, Nina for your input! -------------- Original message -------------- Dear , can I just pass on my opinion that your nsg is *SO* wrong about " simply a filum terminale ... He also mentioned that he has heard of adults having detethering for this filum terminale and in his opinion it is unnecessary, that it is a situation that only needs correcting in infants. " I had a " simple filum detethering " aged 35, as all the deterioration in the condition of my cord (not my feet) occurred from the age of 33. I had no surgery as a child. It was totally necessary to be done as an adult as my cord was being more and more stretched, starved of oxygen and only last week my nsg told me that I had about 6 months left of walking if I had not had it detethered when I did. It would be fortunate, and an ideal world, if all infants with a simple filum tethering were operated on when small, but in the 1960s tethered cords and the surgery were not even heard of, and I had to learn the hard way what the tethering does to feet, legs, pain etc etc. Good to hear that your little girl has benefitted from the surgery - hope she continues to improve Regards Nina Bristol, UK Quoting lefondren@...: > Brande, > Since the surgery, we have had a chance to talk with Sydney's > neurosurgeon and he said she does not have spina bifida. He said hers > was simply a filum terminale and will not retether. He also mentioned > that he has heard of adults having detethering for this filum > terminale and in his opinion it is unnecessary, that it is a > situation that only needs correcting in infants. I can tell you that > Sydney is sooo much better even the day after her surgery. Up to even > the day before the surgery she was walking and tripping over her own > feet constantly...taking only 3-4 steps then falling, getting up and > falling again, all day long. Then she would obviously become fatigued > and need to rest, either laying down or being held. Just as a > reminder, she was 16 months old last month when she had her > detethering surgery. Surgery on Monday morning and home Wednesday > morning...walking, almost running, playing and not tripping over her > feet at all. We are amazed! She obviously is not becoming fatigued > and can easily keep up now with her 2 1/2 year old sister. > I just love the support of this group and all the sharing with one > another! > > > > -------------- Original message -------------- > Generally speaking, I would have to say that there is no > correlation. It might be more of a possiblity if it was higher up. Or > if > there are other Conditions involved. But now that I see she *might* > have > Spina Bifida (at the beginning I was only speaking of Tethered Cord), > it is > more possible that she does have other Conditions involved, which can > make > it more likely that the Speech *Delay* might be caused by all of > this. > > They should be able to tell if she has Spina Bifida by an MRI. > > Keep us updated. > > Me > Nebraska, USA > mymocha@... > > > > I would like to ask if there is any correlation between tethered > cord and > speech development. Is there any relationship to this condition and > speech > delay? > I guess what I'm asking is, could there be other problems > associated with this tethering if it is tethered higher up on the > cord? > > > > Also, when we went in for her pre op blood work, they considered > her > having spina bifida, although her doc said it was only " in the > family " of > spina bifida. We do not know. Does she have spina bifida occulta and > how do > we know? > > > > > > > Not Medical Advice. We Are Not Doctors. > Need help with the list? Email > kathy@...,michelle@..., > rick@... > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 11, 2004 Report Share Posted July 11, 2004 Hi , It's great that your daughter had such grand results from her surgery....and not to frighten you, BUT in all my research in reading medical journals and like that, your surgeon is also mistaken about a " simple filum will not retether. " A filum release is LESS likely to retether than lipomyelomeningocele, but it can retether. As I've mentioned before, and after talking to other neurosurgeons who do various types of surgeries that open the dura, all surgeries create scar tissue. The internal scars inside the dura will normally involve the spinal cord to some degree and can create a new symptomatic tether. If you're lucky, the scars are so little that the symptoms don't ever become a problem again. But this is something you need to be aware of. Ever wonder why the doctors tell you that a MRI will always " look tethered " after surgery and that " retether can only be determined by syptoms " ? The MRI looks tethered because the scar tissue is the new tether. , age 58, Tennessee > Since the surgery, we have had a chance to talk with Sydney's neurosurgeon and he said she does not have spina bifida. He said hers was simply a filum terminale and will not retether. Quote Link to comment Share on other sites More sharing options...
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