TY - JOUR AU - Albright, A. Leland AB - Letter to the Editor Pediatr Neurosurg 2005;41:58 DOI: 10.1159/000084869 Occult Tight Filum terminale Syndrome: Results of Surgical Untethering A. Leland Albright To the Editor: The article, ‘Occult tight filum terminale bedwetting in the year he was 8, and 3 epi- (‘100%’) after filum division. Any procedure syndrome: results of surgical untethering’, sodes the following year, his filum division that improves 100% of patients raises ques- published in Pediatric Neurosurgery 2004; would have been considered to produce a tions. (2) How can the ‘occult filum syn- 40:51–57, purports to describe a new syn- 25% postoperative improvement. The use of drome’ cause both hyporeflexia and hyperre- drome, the ‘occult filum terminale’ syn- percentages with such small numbers is flexia of the lower extremities? (3) If this drome. In my opinion, the article does not inappropriate. (4) No postoperative urody- ‘syndrome’ was seen in 60 patients in a establish the existence of such a syndrome namics, KUB or ultrasound results were re- three-year period by a single pediatric neuro- and raises concerns about surgical indica- ported. (5) The authors state that preopera- surgeon, why is it not seen frequently by tions. There are serious flaws in the study, tively, ‘spina bifida occulta TI - Occult Tight Filum terminale Syndrome: Results of Surgical Untethering JO - Pediatric Neurosurgery DO - 10.1159/000084869 DA - 2005-02-01 UR - https://www.deepdyve.com/lp/karger/occult-tight-filum-terminale-syndrome-results-of-surgical-untethering-r08tEHp2xx SP - 58 EP - 58 VL - 41 IS - 1 DP - DeepDyve ER -