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Today’s lesson (because I’m a b!t$H when I’m pissed and ignorance really pisses me off) is about tethered cord girls and boys. A basic definition first. “Occult” means not visible, but still real. For example, a unicorn is not occult because it’s not real. A spinal cord that appears normal on film but presents with symptoms would be considered occult. It is real, but can not be seen by the MRI. This is common with connective tissue disorders because of the elasticity of the tissues.
The conus is generally agreed to end around L2/L3 border. The nerves should then fan out nicely from the bottom like pretty little strands of a horse’s tail.
Now, per the guest lecturer (ignorant neurovascular doctor I saw on Monday) yesterday the conus should end at L1 and supposedly mine does. I’m scared that a Neuro can’t find L5 and count backwards.
Next, occult tethered cord CAN be seen on MRI. Apparently he has a majikal MRI that could find unicorns too.
Anyway back to the “lesson” and image above. Per Dr. Do More Harm the end of a tethered cord conus is puuulllled to a point like its being stretches. It would make a point at the end. Mine is “nice and round.” therefore I am “cured” of my tethered cord.
Now, show of hands. Who thinks that the conus below looks nice and round and plump like Dr DMH says?
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I then later realized (IN HORROR) what Dr. Dumbass thought he was SUPPOSE to be looking at. He was looking at the end of the dural sac!!!! HOLY CRAP! I’ve even MORE scared that this guy is treating people. He’s a neurologist and he doesn’t even know where the conus is????
PalominoMorgan, I am new here. Just joined tonite! I am currently still searching for answers. I read your “lesson” on tethered cords and couldnt believe what I was reading! I have a tethered cord(almost same story with Igmo Dr.s! WOW…..) I also have Mastocytosis(GI tract) and Transverse cervical myelitis with years of suspicions if MS. Ive been to several specialists. Cleveland Clinic was the last (5 Dr.s there). Im so Tired of hearing;”Weve never had a patient quite like you”….Ive been feeling really ill this week with some kind of virus(?) and My “left side of my body feels way different” thing. Especially my upper arm,shoulder,elbow and what seems to be Tendonitis again in my thumb,,,aybe a torn labrum in my shoulder again. Who Knows?! I would like to talk more later when Im feeling better. Just wanted to introduce myself. (( :
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