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PubMed2005

Spinal cord hemangioblastoma with extensive syringomyelia.

We present the case of a 20-year-old male with intermittent right upper extremity numbness for 3 months. His pain perception and temperature sensation were severely disturbed. An incidental magnetic resonance imaging (MRI) finding of one small intramedullary enhancing nodule at spinal cord level T10-11 with long-segment syrinx formation suggested the diagnosis of spinal hemangioblastoma with syringomyelia. Surgical removal of the tumor and decompression of the spinal cord with opening of the syrinx were performed smoothly, and the pathology confirmed the diagnosis of spinal hemangioblastoma. Reviewing the literature, MRI is the examination of choice for spinal hemangioblastomas, and is helpful in preoperative planning and the differential diagnosis of spinal cord neoplasms and vascular lesions.

Adult↗
PubMed1977

Electrodiagnosis in post-traumatic syringomyelia.

Development of a syrinx several years post spinal cord trauma is a well-known entity and described in a number of scientific communications. Each one describes the few cases encountered with the clinical presentations; many report results of myelography with positive or negative contrast media, operative procedures, and eventual outcome as well as discussions of autopsy material. It is believed by many investigators and clinicians that surgical intervention frequently stops the progression of the syrinx and sometimes even reverses the symptomatology. Early exact diagnosis is thus paramount. Electromyography if used judiciously, may be an important adjunct to proper diagnosis and prognosis. In a patient with previous spinal cord trauma, frequently even post-surgical procedures, the interpretation is often difficult. This paper discusses the electrodiagnostic findings in three patients with post-traumatic syrinx and compares them with electrodiagnostic changes observed in a spinal cord injury patient with increased symptomatology due to other causes and two patients with non-traumatic cervical syringomyelia.

Adult↗
PubMed1981

Syringomyelia as a sequel to traumatic paraplegia.

Ten cases of post-traumatic paraplegia are described in whom syringomyelia symptoms have supervened. Five patients have been operated upon after investigation. Operative results have been encouraging. A discussion of likely pathogenetic mechanisms is presented.

Adolescent↗
PubMed1981

Post-traumatic syringomyelia (cystic myelopathy).

With careful long-term follow up of patients presenting with paraplegia at the thoraco-lumbar level it will be noted that a small group of patients emerge, constituting between one and two per cent, who will subsequently develop neurological defects at a higher level in the spinal cord. The development of cystic cavitation within the spinal cord above the level of the injury, i.e. post-traumatic syringomyelia is noted. Careful examination of the upper limbs in follow up management and investigation by metrizamide myelography is described.

Adult↗
PubMed1982

The significance of hyperhidrosis in patients with post-traumatic syringomyelia.

Eight patients are described with post-traumatic syringomyelia. In each of the eight, excessive sweating was the first feature of the disease, although it was only the main problem with two. Usually specific enquiry must be made to elicit the history of hyperhidrosis. The special features of the sweating are: it may occur above or below the level of transection; it tends to occur in dermatomes whose sensation is later altered by the syrinx; it is of excessive quantity; it may be affected by posture; it is related to central temperature but not to visceral reflexes; in patients with a complete cord transection who are 'neurologically silent' it is the only indicator of a descending syrinx; it ceased after surgical drainage of the syrinx cavity.

Adolescent↗
PubMed1982

Post-traumatic syringomyelia.

A description is given of the syndrome of post-traumatic syringomyelia amongst patients with traumatic spinal injuries seen at the National Spinal Injuries Centre. The diagnosis was made on clinical grounds. It was confirmed wherever possible by neuroradiology prior to surgery; one case was confirmed only at post-mortem. The incidence of the condition was found to be in keeping with other large series but, in contrast, no difference was found between the time of onset after injury between complete and incomplete lesions of the spinal cord. The commonest manifestation was pain, followed by sensory loss and rarely motor weakness. In the majority of patients the condition eventually became bilateral and in a significant number the lesion ascended to involve the trigeminal territory. The natural history of the condition was followed, and in all cases the condition gradually progressed. The pathogenesis of the condition is briefly discussed in view of the findings.

Adolescent↗
PubMed1983

Post-traumatic syringomyelia: the results of surgery.

Between 1973 and 1982 twenty-seven patients with post-traumatic syringomyelia had operations performed to drain the cyst. Three types of operation were performed, cord transection, tube syringostomy to the sub-arachnoid space and tube syringostomy to the peritoneal cavity. Five patients developed proven blockage of their catheters. The results are presented. Pain was dramatically and gratifyingly improved in 14 patients. Motor power showed the most consistent improvement in 14 patients. Only eight patients showed the most consistent improvement in 14 patients. Only eight patients showed sensory improvement; this was the least likely to improve. The progress of the condition could be arrested in the majority of cases, but a small number continued to deteriorate and required further operations.

Adult↗
PubMed1985

Electrodiagnostic abnormalities in 15 patients with posttraumatic syringomyelia: pre- and postoperative studies.

A review of 15 patients with posttraumatic syringomyelia indicates that the most reliable electrodiagnostic criteria for the diagnosis of syrinx are the loss of motor unit numbers with increase in motor unit amplitude and duration nd synchronous firing. Prolongation of F wave latency in a previously stable patient is a useful observation. Return of function and improvement of F wave latencies can occur rapidly following decompression of the syrinx. Forty per cent of the patients studied had concomitant involvement of at least one peripheral nerve as one would expect invoking the double crush hypothesis.

Adult↗
PubMed1987

The diagnosis and management of post traumatic syringomyelia.

We have reviewed 21 cases with the clinical diagnosis of Post Traumatic Syringomyelia (P.T.S.). Fifteen of these cases had proven syrinx formation on Contrast Computed Tomography (C.C.T.) and the other 6 had obviously abnormal cords. A much earlier onset of P.T.C.M. was found in complete spinal injuries than in incomplete ones. We have discussed the technique of contrast computed tomography used at this hospital, its value in the diagnosis of this condition and its ability to define actual spinal cord structure. Most cases (91%) benefitted from surgery and several had marked sensory improvement, which previously has been described as unusual. Syringo-cisternal shunting, a new technique for the drainage of cervical and upper thoracic syrinxes is described. A theory is proposed to explain why, in some patients with classical presentations of P.T.S., no syrinx was found on C.C.T., although abnormal cords were found in all cases. It is felt that these abnormal areas of spinal cord are responsible for the presenting symptomatology and may be precursors of syrinxes.

Adolescent↗
PubMed1988

Evolution of post-traumatic cervical syringomyelia: case report.

A patient with complete post-traumatic paraplegia below T6 developed urinary problems and late secondary syringolmyelia. The concordance between the appearance of micturition difficulties and the first sensory symptoms leads us to discuss the rôle of important and repeated efforts to obtain reflex micturition, during the development of post-traumatic syringomyelia.

Adult↗
PubMed1989

A case of post-traumatic syringomyelia. Neuropathological findings after 1 year of cystic drainage.

A 58-year-old man sustained C4-C5 post-traumatic myelopathy with C3-C4 subluxation, slight compression of C3 vertebral body, C4 spinous process fracture and C6 compression fracture. He subsequently developed syringomyelia from C4 to C6, which was shunted into the subarachnoid space. Postoperatively, there was some but insignificant improvement of his symptoms although a postoperative metrizamide spinal computerised tomography showed complete drainage of the cyst. This patient died 1 year later. Autopsy examination of the spinal cord showed extensive damage of the posterior half of the cord at C3-C4 but the damage was much less extensive from C4 to C6 (where the syrinx was located), affecting mainly the right dorsal column at C4 and the right dorsal column and right anterior horn at C5-C6. In this patient, the syrinx developed in the partially damaged segments of the cord at the level of the spinal fractures and complete drainage of the cyst was not followed by satisfactory relief of his symptoms.

Humans↗
PubMed1990

Post-traumatic syringomyelia, an update.

Post-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.

Adolescent↗
PubMed1994

Severe exacerbation of post traumatic syringomyelia after lithotripsy. Case report.

A case of post traumatic thoracic syringomyelia is reported which presented with an acute and severe worsening of the spinal cord condition after extracorporeal shock wave lithotripsy was performed for ureteral stone. The worsening was probably caused by the shock waves reverberating the fluid within the intramedullary cavity producing further damage to the spinal cord.

Humans↗
PubMed1999

Post-traumatic syringomyelia.

Post-traumatic syringomyelia is estimated to develop in more than 20% of individuals with traumatic spinal cord injury (SCI). The development can give rise to clinical symptoms 6 months to 26 years after the injury, and presentation 40 years post-injury has been seen by one of the authors.1234 We present an unusual case for comments and discussion.

Adult↗
PubMed1998

Neurological complaints after unsuccessful spinal anaesthesia as a manifestation of incipient syringomyelia.

The medical literature sometimes reports neurological complications after spinal or epidural anaesthesia. In a few cases, the onset of symptoms can be a sign of a pre-existing disease without a primary connection with regional anaesthesia. In the following case report, the patient complained of paraesthesias in both legs after a failed spinal anaesthesia, even though the needle had been placed intrathecally. Only neurological examination and nuclear magnetic resonance imaging revealed the presence of syringomyelia.

Aged↗
PubMed2000

Syringomyelia complicating syphilitic spinal meningitis: a case report.

An association between syringomyelia and spinal syphilis was described in the early literature but has not been the subject of reports subsequently. We give details of a contemporary case, affirmed by magnetic resonance imaging. The patient showed significant clinical recovery following penicillin treatment, while the imaging appearances became less pronounced.

Disease Progression↗