Clinical course of incidental syringomyelia without predisposing pathologies

Kim, Jiha; Kim, Chi Heon; Jahng, Tae-Ahn; Chung, Chun Kee

doi:10.1016/j.jocn.2011.07.050

Cited by 14 publications

(4 citation statements)

References 23 publications

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“…6 In a similar report of 6 patients with asymptomatic idiopathic syringomyelia, all were neurologically stable without surgery. In a report of 12 adults with asymptomatic idiopathic syringomyelia, at an average of 39.9-month follow-up, none had developed new symptoms, and a single patient had radiographic progression.…”

Section: Idiopathic Syringomyeliamentioning

confidence: 88%

Syringomyelia

Lü

Wang

2014

Contemporary Spine Surgery

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Section: Idiopathic Syringomyeliamentioning

confidence: 88%

Syringomyelia

Lü

Wang

2014

Contemporary Spine Surgery

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“…There is also a group of patients who do not belong to any of the etiologies mentioned. In this case, the SM is called 'idiopathic' [16] . Despite various hypotheses, the mechanisms of the formation and spontaneous resolution of SM remain controversial [17] .…”

Section: Discussionmentioning

confidence: 99%

The neuroectodermal subtypes of Chiari malformation: Long-term results

Sarı¹

2020

Haydarpasa Numune Med J

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Introduction: Chiari malformations (CMs) are a heterogeneous group of disorders defined by anatomic anomalies of the cerebellum, brainstem, and craniovertebral junction (CVJ). This study aims to establish the demographic and clinical features, incidence, surgical procedures, and outcomes in large series of CMs, to investigate whether CM-0 is a subgroup of CM, Chiari 1 and 1.5 are different pathologies. Methods: In this study, all of the patients were evaluated and operated on for CM between 1985 and 2016. The patients were grouped into various subtypes. Demographic data, additional diseases, clinical features, surgical procedures, complications and outcomes were recorded. Results: In this study, 55 patients who underwent various surgical procedures were evaluated. Their mean age was 0.72±1.17. We detected 26 cases of CM-2 (47.3%), 16 cases of CM-3 (29.1%) and 13 cases of CM-4 (23.6%). When Chiari subtypes were compared, there were statistically significant differences in additional diseases , symptom duration, neuro examination, complication rate and hospital stay. Discussion and Conclusion: The findings obtained in this study suggest that the long hospital stay, the presence of SM and short symptom duration are associated with worse outcomes. The dura repair is the most important stage of surgery. Dural tear (CSF fistule) increases the complication rate and mean hospital stay and also causes the worse outcome. Therefore, the surgeon should spend more time on dura repair.

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“…[13,14] Widespread use of MRI for many other conditions has facilitated the diagnosis of subclinical syringomyelia. [15] Symptoms depend onlocation of the lesion within the neuraxis. It affects sensory, motor and autonomic functions.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Syrinx and Its Associations: A Retrospective Study

Prasad¹,

Harsha²,

Raj³

2019

AJMRR

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Background: Syrinxis described as a cavitary enlargement of the spinal cord. It is a common reason for neurosurgical referral. The aetiology of syrinx is multiple andit is associated with other brain and spinal cord conditions,while some are not associated with any other conditions. Subjects and Methods: We retrospectively collected data of cases diagnosed with syrinx in the department of radiodiagnosis in Rajarajeswari Medical college, Bangalore and studied the conditions associated with syrinx. Results: A total of 37 cases were analysed. The spinal cord levelsmost commonly associated with syrinx were C5, C6, T1 and L1 vertebral levels. Arnold Chiari malformation type 1 was the most common condition associated with syrinx. Conclusion: It was concluded from the present study that syrinx was more common in males than females with mean age of presentation of 36 years. The cervical spinal cord level was most commonly involved followed by thoracic and lumbar spinal cords. ACM type 1 was the most common associated condition. It becomes important for radiologist to look for syrinx in cases diagnosed with associated conditions, so that subtle and mild forms of syrinx are not missed and their growth or expansion in spinal cord be evaluated in follow up MRI studies.

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Clinical course of incidental syringomyelia without predisposing pathologies

Cited by 14 publications

References 23 publications

Syringomyelia

Syringomyelia

The neuroectodermal subtypes of Chiari malformation: Long-term results

Analysis of Syrinx and Its Associations: A Retrospective Study

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