Surgical management of syringomyelia unrelated to Chiari malformation or spinal cord injury

Talacchi, Andrea; Meneghelli, Pietro; Borghesi, Ignazio; Locatelli, Francesca

doi:10.1007/s00586-015-4262-x

Cited by 17 publications

(2 citation statements)

References 45 publications

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“…In our cohort, the foramen magnum area was first evaluated by comparing the preoperative and postoperative MRI findings for the first failed PFD, including the size of the cisterna magna and extent of decompression of cerebellar ptosis, pseudo meningocele formation, anterior compression of the odontoid, and/or craniocervical instability. Several researchers ( 8 , 10 , 30 ) have suggested that the upper segment of the syrinx near the foramen of magendie indicates underlying pathological changes in the foramen magnum area, which can be removed at the craniocervical level to restore free CSF flow.…”

Section: Discussionmentioning

confidence: 99%

Neurological deterioration after posterior fossa decompression for adult syringomyelia: Proposal for a summarized treatment algorithm

Yuan

Guan

et al. 2022

Front. Surg.

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Section: Discussionmentioning

confidence: 99%

Neurological deterioration after posterior fossa decompression for adult syringomyelia: Proposal for a summarized treatment algorithm

Yuan

Guan

et al. 2022

Front. Surg.

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“…When there is progression in the neurological deficit, definitive treatment is required. Craniovertebral decompression may result in improvement in neurological symptoms and signs 12,13. This is probably due to release of pressure and traction on cranial nerves.…”

Section: Discussionmentioning

confidence: 99%

Syringomyelia presenting with unilateral optic neuropathy: a case report

Ngoo

Tai

Hitam

2017

IMCRJ

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PurposeIn this case report, we present two cases of syringomyelia with optic neuropathy.FindingsIn Case 1, a 36-year-old Malay lady presented to our clinic with acute onset of blurring of vision in her left eye that she experienced since past 1 month. She was diagnosed with syringomyelia 12 years ago and was on conservative management. Her visual acuity was 6/6 in the right eye and counting fingers at 1 m in the left. There was a positive relative afferent pupillary defect in her left eye. Optic nerve functions of her left eye were reduced. Visual field showed a left inferior field defect. Her extraocular muscle movements were full. Magnetic resonance imaging of the brain and spine showed syringomyelia at the level of C2–C6 and T2–T9. Both of her optic nerves were normal. Her condition improved with intravenous and oral corticosteroids. In Case 2, a 44-year-old Malay lady presented to our clinic with a progressive central scotoma in her right eye that she experienced since past 1 month. She had previous history of recurrent episodes of weakness in both of her lower limbs from past 8 months. Visual acuity in her right and left eye was 6/9 and 6/6, respectively. The relative afferent pupillary defect in her right eye was positive. Optic nerve functions of her right eye were affected. Visual field showed a central scotoma in her right eye. Her extraocular muscle movements were full. Fundoscopy of her right eye showed a pale optic disc. Her left eye fundus was normal. Magnetic resonance imaging of the brain and spine showed syringomyelia at T3–T6. Both of her optic nerves were normal. A diagnosis of syringomyelia with right optic atrophy was performed. Her condition improved with intravenous and oral corticosteroids.ConclusionOptic neuropathy is a rare neuro-ophthalmic manifestation in patients with syringomyelia. Prompt diagnosis and timely management are essential to avoid a poor visual outcome. Intravenous corticosteroids are beneficial in the treatment of early optic neuropathy in syringomyelia.

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The changes of syrinx volume after posterior reduction and fixation of basilar invagination and atlantoaxial dislocation with syringomyelia

Wang

Jian

et al. 2016

Eur Spine J

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Surgical management of syringomyelia unrelated to Chiari malformation or spinal cord injury

Cited by 17 publications

References 45 publications

Neurological deterioration after posterior fossa decompression for adult syringomyelia: Proposal for a summarized treatment algorithm

Neurological deterioration after posterior fossa decompression for adult syringomyelia: Proposal for a summarized treatment algorithm

Syringomyelia presenting with unilateral optic neuropathy: a case report

The changes of syrinx volume after posterior reduction and fixation of basilar invagination and atlantoaxial dislocation with syringomyelia

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