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Always look tethered????

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Hi everyone,

I had a quick question. I am traveling to see Dr. Mc Lone in Chicago. I have

had some changes on EMG's, more urinary incontinence at night, and progressively

weaker ankles. I recently got a new MRI so I could take it to him. For the

first time since my detethering the radiology report reads " :Low lying cord,

closely applied to posterior canal, conus extending to the L3-L4 interspace

level, suggesting tethered cord syndrome, as before " (meaning pre-op).

My NS in the past has said that all my MRI's in the past show no retether. I

have yet to talk to him about this one. I have heard that once you have been

tethered you always look tethered. I don't understand why???? Does anyone?

What is the point of doing repeat MRI's then?

Thanks for you input.

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Hi ..Maybe it is different when the reason for the tethering is

different. Our NS said the MRI is no longer useful and my daughter will always

look

tethered on it...She had a lipoma and fatty fillum terminale. I think they

released the tether but couldn't totally untether her without damaging her

spinal cord? That is what I think he said. What was your reason for being

tethered? randee

In a message dated 6/23/2007 1:41:05 A.M. Eastern Daylight Time,

lindafilipi@... writes:

Hi everyone,

I had a quick question. I am traveling to see Dr. Mc Lone in Chicago. I have

had some changes on EMG's, more urinary incontinence at night, and

progressively weaker ankles. I recently got a new MRI so I could take it to

him. For

the first time since my detethering the radiology report reads " :Low lying

cord, closely applied to posterior canal, conus extending to the L3-L4

interspace level, suggesting tethered cord syndrome, as before " (meaning

pre-op).

My NS in the past has said that all my MRI's in the past show no retether. I

have yet to talk to him about this one. I have heard that once you have been

tethered you always look tethered. I don't understand why???? Does anyone?

What is the point of doing repeat MRI's then?

Thanks for you input.

[Non-text portions of this message have been removed]

************************************** See what's free at http://www.aol.com.

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Hi ,

As it was explained to me, we always look tethered because of scar

tissue...pretty much always the cord gets caught up to some degree in

scar tissue that forms when the dura heals. With luck the cord

remains fairly loose and there's no more progression of problems.

Without luck (form lots of scar tissue, had extensive repair of the

dura - which is why lipomyelomeninigocele retethers more that fatty

filums - , etc. you have more problems.

It's also not unusual for the cord to stay low after detether in

adults. Mine didn't move up.

To be diagnosed with " retether " is to have new symptoms. THe MRI is

to look for anything new, or changed from the last time you had one.

V

> My NS in the past has said that all my MRI's in the past show no

retether. I have yet to talk to him about this one. I have heard

that once you have been tethered you always look tethered. I don't

understand why???? Does anyone? What is the point of doing repeat

MRI's then?

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Guest guest

Sorry to interrupt, but I have what is called a flip-flop MRI. They

take the MRI while I lay on my back, then take more while I lay on my

stomache. Since the cord is supposed be floating in the fluid, if it

doesn't move, they can tell it is tethered.

I hope I have explained myself clearly.. I'm on my way to bed.. been a

long, long day.

M.

> Hi ,

>

> As it was explained to me, we always look tethered because of scar

> tissue...pretty much always the cord gets caught up to some degree in

> scar tissue that forms when the dura heals. With luck the cord

> remains fairly loose and there's no more progression of problems.

> Without luck (form lots of scar tissue, had extensive repair of the

> dura - which is why lipomyelomeninigocele retethers more that fatty

> filums - , etc. you have more problems.

>

> It's also not unusual for the cord to stay low after detether in

> adults. Mine didn't move up.

>

> To be diagnosed with " retether " is to have new symptoms. THe MRI is

> to look for anything new, or changed from the last time you had one.

>

> V

>

>

>

> > My NS in the past has said that all my MRI's in the past show no

> retether. I have yet to talk to him about this one. I have heard

> that once you have been tethered you always look tethered. I don't

> understand why???? Does anyone? What is the point of doing repeat

> MRI's then?

>

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Guest guest

Hi ,

I see Dr. Frim in Chicago and he does what is called a flip/flop MRI

in which the MRI is taken on the back and then on the belly. The idea

is the spinal cord should float in the spinal column and there should

be some movement even if it is stretched out from life-long tethering.

Now, how this will work on someone with Arachnoiditis or someone only

partially untethered, I'm not sure. But, if you were cleanly

untethered it should work quite well.

M.

> Hi everyone,

>

> I had a quick question. I am traveling to see Dr. Mc Lone in Chicago. I have

had some changes on EMG's, more urinary incontinence at night, and progressively

weaker ankles. I recently got a new MRI so I could take it to him. For the

first time since my detethering the radiology report reads " :Low lying cord,

closely applied to posterior canal, conus extending to the L3-L4 interspace

level, suggesting tethered cord syndrome, as before " (meaning pre-op).

>

> My NS in the past has said that all my MRI's in the past show no retether. I

have yet to talk to him about this one. I have heard that once you have been

tethered you always look tethered. I don't understand why???? Does anyone?

What is the point of doing repeat MRI's then?

>

> Thanks for you input.

>

>

>

>

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  • 3 months later...

The reason why is because that is the nature of this Surgery. Scar Tissue

will always form, and produce a Retether, to some extent or another.

That doesn't mean that you will be Symptomatic again, and if you do

become Symptomatic, when that will happen, nobody can say for sure.

The point in doing follow up MRI's is to see if other conditions have

arose. However, now there are CINE MRI's that can more clearly

deterimine how much of your Cord has adhered to the Scar Tissue.

Hopefully that made sense.

Brande

mymocha@...

I have heard

that once you have been tethered you always look tethered. I don't

understand why???? Does anyone? What is the point of doing repeat

MRI's then?

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