Secondary Holocord Syringomyelia Associated With Spinal Hemangioblastoma in a 29-Year-Old Female

Chu, Eric Chun-Pu; Sabourdy, Edouard; Cheong, Benjamin

doi:10.7759/cureus.40022

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…The example emphasizes the importance of imaging, particularly MRI, in the diagnosis process, as well as the importance of a collaborative approach to patient care. Clinicians, especially chiropractors, should maintain a high index of concern for significant underlying conditions and collaborate with other healthcare experts for proper assessment and treatment to enhance patient satisfaction [10]. However, Chu et al 2022 found that an approach of conservative chiropractic and rehabilitative therapy benefited patients with persistent neck pain and headache worsened by a chronic, persistent cervicothoracic cord syrinx after foramen magnum decompression (FMD) for CM-I.…”

Section: Discussionmentioning

confidence: 99%

The Originality of Neuro Rehabilitation Protocols in a Definitive Case of Syringomyelia Related to Chiari I Malformation

Tiwari,

Zade,

Samal

2023

Cureus

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Syringomyelia is a center-medullary syndrome characterized by the presence of fluid-filled spaces known as syrinx within the spinal canal. Arnold Chiari Malformation (CM-I), a rhombencephalon anomaly formerly identified as hindbrain hernia, is usually associated with it. This disorder causes the brain (cerebellum) to bulge through the opening in the skull known as the foramen magnum. Some asymptomatic patients may develop symptoms quickly if they jolt their heads and cough for a lengthy period of time. Syringomyelia can be caused by trauma, illness, inflammation, or previous surgery that affects the circulation of cerebral spinal fluid resulting in CSF flow obstruction. The discomfort is acute and progressive, radiating to the neck and shoulder, and is accompanied by sensory loss, motor atrophy, decreased hearing, oscillopsia, and cerebellar abnormalities. This case report is of a 39-year-old woman diagnosed with syringomyelia associated with Arnold Chiari malformation and showed similar symptoms managed by foramen decompression and tonsillar elevation surgery. It involves removing a small piece of bone from the skull and a small section of the 1st vertebra from the back of the neck and head. In this way, there is an increase in skull space. Decompression of the spinal canal increases the size of the subarachnoid cisterns and constricts the syrinx cavity. After surgery, physiotherapy was advised because all superficial sensations over C8 and T1 were diminished, the range of motion along with strength was reduced, doing daily activities was difficult, and quality of life was affected. So, by decreasing symptoms and improving the patient's quality of life, physiotherapy improved the patient's condition significantly in this case report. The rationale of this study is to show the importance of physiotherapy in recovering after a neurological condition followed by corrective neurosurgery.

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Section: Discussionmentioning

confidence: 99%

The Originality of Neuro Rehabilitation Protocols in a Definitive Case of Syringomyelia Related to Chiari I Malformation

Tiwari,

Zade,

Samal

2023

Cureus

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“…Examples of the successful integration of Western and Eastern medicines in clinical case management in physiotherapy, nursing, and university medical programs point to the potential for interprofessional collaboration with chiropractic in Hong Kong [26][27][28][29][30][31][32][33][34][35][36].…”

Section: Prospects Of Chiropractic In Hong Kongmentioning

confidence: 99%

East Meets West: Perspectives on the Development of Chiropractic Education and Profession Under Hong Kong’s “One Country, Two Systems” Policy

Lin¹,

Chu²

2023

Cureus

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In Hong Kong, chiropractic care developed under the national policy of "one country, two systems," whereby Hong Kong retained its own economic and political systems while remaining part of mainland China. This environment allowed Western education standards and practices to be adopted while integrating local cultural beliefs. In this respect, chiropractic healthcare emerged as an early model of culturally synergistic East meets West care. However, despite Hong Kong’s large population and interest in natural health options, the field faces several challenges, including competition with other professions, costs of education, and political uncertainty. Collaborating across professions, demonstrating value through outcomes, and adapting to cultural contexts may facilitate the integration of chiropractic care into Hong Kong’s healthcare system. Moreover, positioning chiropractic care within Hong Kong’s integrative East meets West healthcare movement may help sustain the practice regardless of political shifts. Through strategic partnerships and the maintenance of high standards balanced by cultural sensitivity, the chiropractic field in Hong Kong exemplifies the global spread of healthcare professions. Overall, chiropractic care in Hong Kong has had to navigate complex sociocultural and political circumstances and evolve into an integrated approach, reflecting the region’s pluralistic society. The study first discussed the development of the chiropractic profession in Hong Kong under the "one country, two systems" policy. It then examined the opportunities and challenges faced by the profession and concluded by delving into the future prospects of chiropractic in the region.

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Secondary Holocord Syringomyelia Associated With Spinal Hemangioblastoma in a 29-Year-Old Female

Cited by 2 publications

References 23 publications

The Originality of Neuro Rehabilitation Protocols in a Definitive Case of Syringomyelia Related to Chiari I Malformation

The Originality of Neuro Rehabilitation Protocols in a Definitive Case of Syringomyelia Related to Chiari I Malformation

East Meets West: Perspectives on the Development of Chiropractic Education and Profession Under Hong Kong’s “One Country, Two Systems” Policy

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