Korean J Dermatol.  2004 Jun;42(6):781-783.

A Case of Faun Tail associated with Tethered Cord Syndrome

• Bak H
• Kim JY
• Chung YL
• Kim SC

Abstract

Tethered cord syndrome is a kind of spinal dysraphism with low-lying conus frequently associated with intraspinal lipoma, diastematomelia or fibrous band. The clinical manifestations varies from long periods of no overt symptoms to back pain, scoliosis, progressive neurological deficit of legs and incontinence. Therefore the diagnosis requires a strong clinical suspicion and aggressive investigation. It shows various cutaneous manifestations including hyperpigmentation, skin dimple, dermal sinus or hypertrichosis. This 34-year-old female patient has had a lozenge shaped hair tuft with terminal hair on the lumbosacral area since her birth. Her MRI scan showed dermal sinus and a low-lying conus at the lower border of L5. The filum terminale was also thickened. These findings are compatible for tethered cord syndrome.

Keyword

Faun tail; Spinal dysraphism; Tethered cord syndrome

MeSH Terms

Adult
Back Pain
Cauda Equina
Conus Snail
Diagnosis
Female
Hair
Humans
Hyperpigmentation
Hypertrichosis
Leg
Lipoma
Magnetic Resonance Imaging
Neural Tube Defects*
Parturition
Scoliosis
Skin
Spina Bifida Occulta
Spinal Dysraphism