Child's Nervous System

, Volume 35, Issue 2, pp 389–391 | Cite as

Ventral and dorsal tethering bands of the spinal cord in the same patient: a case report

  • Seif Eid
  • Joe IwanagaEmail author
  • Marios Loukas
  • W. Jerry Oakes
  • R. Shane Tubbs
Case Report


Fibrous bands are one of the causes of tethered cord syndrome and these can be located on the dorsal or more rarely, ventral aspect of the dura mater. We report a case of dorsal and ventral tethering bands in the same patient found at surgery for tethered cord syndrome. Such fibrous bands restrict normal movement of the spinal cord and lead to a variety of neurological symptoms. To our knowledge, we report the first case of dorsal and ventral tethering bands of the spinal cord in the same patient. This case report aims to increase awareness of such anatomical variations and emphasize the importance of meticulous surgical dissection in order to identify such bands.


Dorsal tethering Ventral tethering De-tethering Spinal cord Meningocoele manqué 


Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.


  1. 1.
    Kaffenberger DA, Heinz ER, Oakes JW, Boyko O (1992) Meningocoele manqué: radiologic findings with clinical correlation. Am J Neuroradiol 13:1083–1088Google Scholar
  2. 2.
    Kriss VM, Kriss TC, Warf BC (1996) Dorsal tethering bands of the meningocele manque: sonographic findings. Am J Roentgenol 167:1293–1294. CrossRefGoogle Scholar
  3. 3.
    Lassman LP, James CM (1977) Meningocoele manqué. Childs Brain 3:1–11Google Scholar
  4. 4.
    Pang D (2001) Ventral tethering in split cord malformation. Neurosurg Focus 10:1–11. CrossRefGoogle Scholar
  5. 5.
    Solmaz I, Izci Y, Albayrak B, Cetinalp E, Kural C, Sengul G, Gocmez C, Pusat S, Tuzun Y (2011) Tethered cord syndrome in childhood: special emphasis on the surgical technique and review of the literature with our experience. Turk Neurosurg 21:516–521. Google Scholar
  6. 6.
    Venkataramana NK (2011) Spinal dysraphism. J Pediatr Neurosci 6:31–40. CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Seif Eid
    • 1
  • Joe Iwanaga
    • 2
    Email author
  • Marios Loukas
    • 1
  • W. Jerry Oakes
    • 3
  • R. Shane Tubbs
    • 1
    • 2
  1. 1.Department of Anatomical SciencesSt. George’s UniversitySt. George’sGrenada
  2. 2.Seattle Science FoundationSeattleUSA
  3. 3.Children’s of AlabamaBirminghamUSA

Personalised recommendations