A 15-year-old female former gymnast with a history of pectus excavatum was reviewed due to unexplained paraparesis and urinary incontinence since age 10. Symptoms were commenced with intolerable upper back pain and development of a soft mass at the sacrum that remitted spontaneously. Brain and whole spine MRI imaging and blood and CSF testing were normal. The combination of skeletal, neurological, and bladder symptoms with normal lumbar MRI and abnormal urodynamic and neurophysiological studies led to the clinical suspicion of occult tethered cord syndrome (oTCS). Surgical cord “untethering” was performed leading to remarkable postoperative clinical improvement. oTCS is a recently defined functional disorder of the spinal cord due to fixation (tethering) of the conus medullaris by inelastic elements that may lead to severe neurological impairment. High clinical suspicion is required as oTCS is a treatable spinal cord disorder.

一名有漏斗胸病史的 15 岁女性前体操运动员自 10 岁起因不明原因的下肢轻瘫和尿失禁而接受复查。症状开始时是无法忍受的上背部疼痛和骶骨处出现柔软肿块并自发缓解。脑和全脊柱 MRI 成像以及血液和脑脊液测试正常。骨骼、神经和膀胱症状与正常腰椎 MRI 以及异常的尿动力学和神经生理学研究相结合，导致临床怀疑隐匿性脊髓栓系综合征 (oTCS)。进行了手术绳索“解开”，导致术后临床显着改善。oTCS 是一种最近定义的脊髓功能障碍，原因是脊髓圆锥被非弹性元件固定（束缚），可能导致严重的神经功能障碍。