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Petra Klinge, MD, is an internationally renowned general neurosurgeon specializing in the surgical treatment of patients with brain tumors, hydrocephalus and Alzheimer’s disease, pediatric diseases and treatment of congenital diseases like Chiari and spinal malformations, talks about occult tethered cord and its effects. Patricia Weltin, parent advocate, and CEO/Founder of Beyond the Diagnosis [https://www.beyondthediagnosis.org/blog/], brought to our attention the prevalence of tethered cord among a number of rare diseases. Due to the presence of tethered cord among people with a RASopathy, particularly Costello syndrome, as well as a list of a list phenotypical issues that are shared with the RASopathies, learning about what tethered cord is, how it can affect the body, how it is treated, and red flags to rule it out can be important for individuals affected by a RASopathy.