[Tethered XXXX : report of 2 cases].

@entity3570 @entity1 @entity322 @entity602 @entity1635 @entity3481 @entity615 @entity10145
The tethered @entity602 is a disease that is part of the group of @entity3570 , that was recently recognized as an individualized nosological entity, yet not frequently diagnosed among us. It is characterized by shortening and thickening of the filum terminale which prevents the ascent of the spinal cord into spinal canal, the conus medularis abnormally remaining in a low place. It is associated in all cases with @entity3570 . The diagnosis is simple, once the disease is suspected. It is manifested by progressive @entity3481 , @entity322 , @entity1635 and @entity615 , specially in young @entity1 . The plain @entity10145 always shows @entity3570 . Myelography makes the diagnostic. It shows, basically, the negative image of the thickened filum terminale and the low placed conus medularis. Other exams which can help are the computerized tomography and the ultra-sound of the spinal cord. The surgical treatment is very simple and heals without sequels if done in due time. It consists in a sectioning of the filum terminale through laminectomy. Two cases diagnosed and treated at Hospital da Baleia, from Funda    o Benjamin Guimar  cs, Belo Horizonte, are reported in this paper.
