Gli autori presentano 5 casi di TCS in pazienti adulti studiati con esame radiografico diretto, mielografia, mielo-TC e, in un caso, con Risonanza Magnetica. Una revisione della letteratura rivela circa 50 casi di pazienti adulti affetti da tale patologia. Dopo una descrizione della semeiologia radiologica di tale sindrome, gli autori effettuano una comparazione tra la versione adulta e quella giovanile prendendo come parametri il dolore, le deformity dei piedi, le deformity spinali, i deficit motori, la sintomatologia urologica, le ulcerazioni trofiche, le stigmate cutanee del disrafismo ed i fattori aggravanti. Infine riportano le teorie più accreditate sull'insorgere tardivo della sintomatologia.
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