Syringomyelia Associated with Diseases of the Spinal Canal

Klekamp, Jörg; Samii, Madjid

doi:10.1007/978-3-642-56023-1_4

Cited by 3 publications

(3 citation statements)

References 59 publications

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“…It is well known that between 1% and 4.45% of paraplegic patients can develop in a late phase large intramedullary cavities extending several segments at distance from the area of SCI, which is known as "posttraumatic syringomyelia" or "post-traumatic cystic myelopathy". The syringomyelic cavity may be asymptomatic or associated with a worsening of previously established neurological deficit, such as development of supralesional sensory disorders, autonomic dysreflexia or increase of neuropathic pain or spasticity [14][15][16][17][18][19]. At present, there is no evi-dence that the drainage of these cavities provides benefit, and surgery is recommended only in paraplegic patients with post-traumatic syringomyelia who developed worsening of symptoms, which were associated with an enlargement of previous intramedullary cavities [15,17].…”

Section: Discussionmentioning

confidence: 99%

“…The syringomyelic cavity may be asymptomatic or associated with a worsening of previously established neurological deficit, such as development of supralesional sensory disorders, autonomic dysreflexia or increase of neuropathic pain or spasticity [14][15][16][17][18][19]. At present, there is no evi-dence that the drainage of these cavities provides benefit, and surgery is recommended only in paraplegic patients with post-traumatic syringomyelia who developed worsening of symptoms, which were associated with an enlargement of previous intramedullary cavities [15,17]. Various surgical techniques, such as subarachnoid-peritoneal shunt, subarachnoidsubarachnoid bypass or arachnolysis with untethering and duraplasty at the level of underlying trauma, have been used in post-traumatic syringomyelia [17].…”

Section: Discussionmentioning

confidence: 99%

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Cell therapy with autologous mesenchymal stromal cells in post-traumatic syringomyelia

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cell therapy with autologous mesenchymal stromal cells in post-traumatic syringomyelia

et al. 2018

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“…The initial CT most likely did not reveal the syringomyelia because of the surrounding bone causing distortion. 4 CT myelography is better at revealing syrinx formation, but still misses 10-50% of syrinxes and as such, MRI is the best diagnostic imaging tool with respect to syringomyelia. 5,6 We could not account for the CSF pleocytosis that was found three weeks prior to admission.…”

Section: Discussionmentioning

confidence: 99%

Arnold-Chiari 1 malformation type 1 with syringohydromyelia presenting as acute tetraparesis: A case report

Schneider

Birthi

Salles

2013

The Journal of Spinal Cord Medicine

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Intramedullary migration of spinal cord lipoma

Kamat

2003

Journal of Neurology, Neurosurgery & Psychiatry

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Spinal cord lipomas may grow with changes in body fat, and can produce neurological manifestations due to nervous tissue compression or cord tethering. It is very unusual for the tumour to migrate from one part of the cord to another, thus to cause neurological symptoms at the migrated level. This, however, is a report on such a case. To the best of our knowledge, this has not previously been described in the literature. Case illustrationA 45 year old man presented to a different neuroscience centre with a history of deformity of the right foot since childhood. In his 20s, he developed numbness of the right foot, back pain, right sciatica, and a degree of urgency of micturition and of constipation. In 1998, he developed intermittent intercostal pain and was found to have reduced sensation in the left T4 to T12 region. In October 1998, an MRI scan of the spine showed a low lying tethered cord at L3 with a terminal lipoma of variegated appearance. There was a lipomatous lesion extending cranially to the T10 vertebral level. The lipomatous lesion was thought to be within the cord (fig 1). No visible syrinx could be seen in the caudal portion of the cord.In the referring neurosurgical unit, a thoracic laminectomy was carried out in January 2000. However, no intradural abnormality was found; the cord appeared normal. A needle aspiration was performed but no abnormal tissue was identified. Following the surgery, the intercostal pain resolved.Nine months before referral to our unit, the patient developed numbness in the C8 distribution of the left hand. Examination revealed normal strength in the upper limbs with diminished reflexes in the left arm. There was reduced pinprick sensation from C8 to L4 on the left and from T4 to S4 on the right. Proprioception was affected in the right foot. Clonus was present in the right ankle. The right lower leg was wasted and there was pes cavus deformity. There was grade 3 weakness of right ankle eversion. Spinal examination was normal except for the surgical scar.Review of the original MRI scan (fig 1) suggested the presence of a dermoid cyst at L2/3 intimately related to the lipomatous tissue. A further MRI scan in 2001 (fig 2) showed that the lipomatous tissue lying within the cord had extended to the C6 level, but that the amount of lipomatous tissue in the lower cord had reduced as compared with the first scan. The nature of this tissue was confirmed as fat by a fat suppression MR sequence. In the lower region of the spinal cord it was now possible to see a syrinx cavity, the presence of which had been obscured by fat on the initial MRI scan.As the patient's clinical deterioration had stabilised at this stage, we decided to adopt a conservative policy. DiscussionTethered cord is known to be associated with spinal cord lipomas.1 Terminal lipomas are spinal cord lipomas that are inserted in the end of the conus and incorporated in the filum. They may contain excessive amounts of non-adipose mesenchymal derivatives such as cartilage, bone, and fibrous septums. 2Tethering of the sp...

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Syringomyelia Associated with Diseases of the Spinal Canal

Cited by 3 publications

References 59 publications

Cell therapy with autologous mesenchymal stromal cells in post-traumatic syringomyelia

Cell therapy with autologous mesenchymal stromal cells in post-traumatic syringomyelia

Arnold-Chiari 1 malformation type 1 with syringohydromyelia presenting as acute tetraparesis: A case report

Intramedullary migration of spinal cord lipoma

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