25-year old presented with low back pain of twelve years duration. He also had radicular pain involving left lower limb. Bladder and bowel symptoms were absent. Local examination showed sacral dimple and tuft of hair. MRI spine showed features of spina bifida and tethered cord syndrome. He was referred to Neurosurgeon for further management.
General examination is very useful in the evaluation of neurological disorders. Simple findings such as sacral dimple and tuft of hair can give a clue to spina bifida and tethered cord syndrome. All babies should be turned prone to look for this finding. This is because early detection and surgery can prevent disability.
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