A Case Report on Caudal Regression Syndrome

Caudal regression syndrome is a very rare neural tube disorder, in which the caudal vertebral column and spinal cord develop abnormally, causing substantial sensory and motor deficits, primarily in the legs. An abnormality in the spinal cord and nerve roots interacts with a section of lumbar, lumbosacral, or coccygeal spinal dysgenesis or agenesis. Here, we present a rare case of caudal regression syndrome in a 12 - year - old female child who was brought to the pediatrics department with a known case of neurogenic bladder and bowel dissected with pain in bilateral lower legs which was shock like, on and off (1 - 2 episodes/week), aggravated in cold temperature and bladder disturbances. For which, a neurological opinion was taken. Plain X - ray revealed a partial sacral agenesis, MRI revealed sacralization of L5 vertebral body is seen. On the basis of radiological findings, a diagnosis of the caudal regression syndrome was confirmed.