Posttraumatic syringomyelia

McLean, Donald R.; Miller, J.; Allen, Peter B.; Ezzeddin, S. Ali

doi:10.3171/jns.1973.39.4.0485

Cited by 58 publications

(23 citation statements)

References 9 publications

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“…One possible source is from the subarachnoid space via a hole at the level of the cord injury. This type of communication has been confirmed twice (Savoiardo, 1976;McLean et at., 1973).…”

Section: Figsupporting

confidence: 65%

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Syringomyelia as a sequel to traumatic paraplegia

et al. 1981

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“…One possible source is from the subarachnoid space via a hole at the level of the cord injury. This type of communication has been confirmed twice (Savoiardo, 1976;McLean et at., 1973).…”

Section: Figsupporting

confidence: 65%

“…This is true of the common form of 'communica ting' syringomyelia (Williams & Turner, 1971) but is especially true of syringo myelia above a paraplegia. (Williams, 1970;Barnett et at., 1973Barnett et at., , 1976McLean et at., 1973). Three patients in this series had such a history.…”

Section: Figmentioning

confidence: 99%

Syringomyelia as a sequel to traumatic paraplegia

et al. 1981

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“…There may be some residual elasticity in the cord which allows a myelotomy to deflate a syrinx, but it is clear that the presence of such a hole in the cord may allow a cavity to fill as well as to empty. Such filling is occasionally found as the apparent cause of the intracord cavity (McLean et al, 1973;Savoiardo, 1976). The cavity in the cord in post traumatic case 1 (Fig.…”

Section: Treatmentmentioning

confidence: 91%

“…The use of syrinx to subarachnoid shunting, although it is frequently successful as reported by McLean et al (1973) and Barnett and Jousse (1976) and as seen in cases 3,11,12,19,22 and 23, may be criticised. There may be some residual elasticity in the cord which allows a myelotomy to deflate a syrinx, but it is clear that the presence of such a hole in the cord may allow a cavity to fill as well as to empty.…”

Section: Treatmentmentioning

confidence: 98%

Post-traumatic syringomyelia, an update

Williams

1990

Spinal Cord

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SummaryPost-traumatic and post-arachnoiditic syringomyelia is described in 31 patients from the Midland Centre for Neurosurgery and Neurology (MCNN). It is suggested that the mechanisms may be similar in the two groups and that treatment is best directed to disabling the likely filling mechanisms by opening up the cerebrospinal fluid (CSF) pathways and deliberately leaving the dura open to create an artificial meningocele. It is suggested that drainage on its own is inappropriate but that when drainage of the syrinx is chosen as an ancillary technique then syringopleural drainage may be the procedure of choice. Key words: Spinal cord injuries; Syringomyelia; Arachnoiditis; Post-traumatic cystic myelopathy.Since the presentation of 10 cases of post-traumatic syringomyelia to the IMSOP (Williams et al., 1981) further cases have been seen. The majority of these have been cases with complete or partial paraplegia. Because of the important similarities, the blockage of the CSF pathways around the cord, the upward extension of the syrinx cavities, particularly in association with straining and the tendency to progress, sometimes many years after the causative lesions, it seems probable that the mechanism of the syringomyelia is often similar in both the post-traumatic and the post-inflammatory types of case. The main difference between them seems to be that in some of the post-traumatic cases the condition becomes evident early, only a few months after the initial cord involvement. This may be a manifestation of a supposed haematoma at the site of injury. This possibility is largely unexplored at present and it is therefore not possible to separate the cases retrospectively. Thirty one cases are presented with 7 of them being non-traumatic and the principles of treatment discussed for both types together. Initial results of treatment have been disappointing and have lead to emphasis in surgical management being placed on prevention of the filling mechanisms and the replacement of syringo subarachnoid shunting by more forceful methods of drainage using shunting from syrinx to extrathecal sites, the pleural cavity being chosen in the more recent cases

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“…There are also several idiopathic cases. Syringomyelia that occurs due to spinal arachnoid cysts has first been reported in 1973, followed by another 30 other cases until now (20). Excluding the cases at the craniocervical junction, most spinal arachnoid cysts that cause syringomyelia are located in the thoracic region.…”

Section: Syringomyeli Ile İlişkili Spinal Araknoid Kist: Literatürün mentioning

confidence: 99%

Spinal arachnoid cysts associated with syringomyelia: a review of the literature and report of a case

Tucer

Yılmaz²,

Ekici³

et al. 2014

Turkish Neurosurgery

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Syringomyelia is a not infrequent pathology that develops related to changes in cerebrospinal fluid dynamics due to many etiological factors. The development of syringomyelia through a spinal arachnoid cyst is quite rare and has been defined in only 31 cases in the literature. A case due to thoracic epidural lipomatosis has also been reported. There have been no previous reports of thoracic region epidural lipomatosis with underlying arachnoid cyst and syringomyelia as in our case. We present a 27-year-old patient who developed thoracic arachnoid cyst and underlying syringomyelia because of the pressure of the thoracic epidural fat tissue and also evaluate the characteristics of patients with syringomyelia by virtue of an arachnoid cyst previously reported in the literature. KEywORDS: Epidural lipomatosis, Spinal arachnoid cyst, Syringomyelia, Surgical treatment ÖZSiringomyeli, birçok etiyolojik faktörden kaynaklanan serebrospinal sıvı dinamiğindeki değişikliklerle ilgili olarak gelişen, nadir olmayan bir patolojidir. Spinal araknoid kistin sebep olduğu siringomyeli gelişimi oldukça nadirdir ve literatürde yalnızca 31 olguda tanımlanmıştır. Ayrıca torakal epidural lipomatozisten kaynaklanan olgu da rapor edilmiştir. Bizim olgumuzdaki gibi torakal bölge epidural lipomatozis ile altında yatan araknoid kist ve siringomyeli daha önce rapor edilmemiştir. Biz, torakal epidural yağ basısından dolayı torakal araknoid kist ve altında yatan siringomyelisi olan 27 yaşında bir hasta sunuyoruz. Ayrıca daha önce literatürde rapor edilmiş araknoid kist nedeniyle oluşan siringomyelili hastaların özelliklerini değerlendiriyoruz.

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Posttraumatic syringomyelia

Cited by 58 publications

References 9 publications

Syringomyelia as a sequel to traumatic paraplegia

Syringomyelia as a sequel to traumatic paraplegia

Post-traumatic syringomyelia, an update

Spinal arachnoid cysts associated with syringomyelia: a review of the literature and report of a case

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