Syringomyelia: General
Chiari malformation, cervical disc prolapse and syringomyelia - always think twice.
J Clin Neurosci. 2008 Feb 5.
When significant spinal canal compression from a herniated disc is associated with syringomyelia, even in the presence of a Chiari I malformation, our approach has been to remove the disc first. Now, the first case report has been published showing resolution of the syrinx following spinal decompression without treatment of the Chiari malformation.
Bertram CD, Bilston LE, Stoodley MA.
Tensile radial stress in the spinal cord related to arachnoiditis or tethering: a numerical model.
Med Biol Eng Comput. 2008 Mar 18.
- Trauma or infection can cause scarring of the arachnoid membrane. The arachnoid scar can tug (cause traction) on spinal cord and lead to development of a syrinx.
Wetjen NM, Heiss JD, Oldfield EH.
Time course of syringomyelia resolution following decompression of Chiari malformation Type I.
J Neurosurg Pediatrics. 2008 Feb;1(2):118-23.
Pathophysiology and treatment of neuropathic pain associated with syringomyelia.
Vet J. 2008 Feb;175(2):164-72. Epub 2007 Feb 20.
- Study in dogs with syringomyelia.
Qiu Y, Zhu Z, Wang B, Yu Y, Qian B, Zhu F.
Radiological presentations in relation to curve severity in scoliosis associated with syringomyelia.
J Pediatr Orthop. 2008 Jan-Feb;28(1):128-33.
When should a child or adolescent with scoliosis have an MRI to look for syringomyelia? Qui et al. measured the scoliosis curves in 87 children and adolescents with syringomyelia and scoliosis. Over 40% were noted to have atypical curve patterns and 65% with typical curve patterns had atypical features.
The authors conclusion: "These results show that radiographic presentations including atypical curve patterns, atypical features in typical curve patterns, and a normal to hyperkyphotic thoracic spine may suggest the need for a preoperative magnetic resonance imaging.
- See review by Rick Labuda of Conquer Chiari.
Zhang ZQ, Chen YQ, Chen YA, Wu X, Wang YB, Li XG.
Chiari I malformation associated with syringomyelia: a retrospective study of 316 surgically treated patients.
Spinal Cord. 2007 Nov 20; [Epub ahead of print]
- Large retrospective study from Qilu Hospital of Shandong University in China measuring the clinical outcome and extent of syrinx collapse following surgery. While the response in syrinx size was variable, clinical improvement was noted in 94% of 218 patients available for follow-up.
Ruette P, Stuyck J, Debeer P.
Neuropathic arthropathy of the shoulder and elbow associated with syringomyelia: a report of 3 cases.
Acta Orthop Belg. 2007 Aug;73(4):525-9.
- Syringomyelia as a cause arthropathy of the shoulder and elbow.
Koç K, Anik Y, Anik I, Cabuk B, Ceylan S.
Chiari 1 Malformation with Syringomyelia: Correlation of Phase-Contrast Cine MR Imaging and Outcome.
Turk Neurosurg. 2007;17(3):183-92.
- Cine MRI follow-up in 18 cases of CM-I and syringomyelia. Heterogenous spinal fluid flow seen pre-operatively improved or corrected to sinusoidal pattern following surgery.
Batzdorf U, Khoo LT, McArthur DL.
Observations on spine deformity and syringomyelia.
Neurosurgery. 2007 Aug;61(2):370-7; discussion 377-8.
Perrini P, Benedetto N, Tenenbaum R, Di Lorenzo N.
Extra-arachnoidal cranio-cervical decompression for syringomyelia associated with Chiari I malformation in adults: technique assessment.
Acta Neurochir (Wien). 2007 Aug 23; [Epub ahead of print]
Yeom JS, Lee CK, Park KW, Lee JH, Lee DH, Wang KC, Chang BS.
Scoliosis associated with syringomyelia: analysis of MRI and curve progression.
Eur Spine J. 2007 Aug 15; [Epub ahead of print]
Nontraumatic cervicothoracic syrinx as a cause of progressive neurologic dysfunction.
J Spinal Cord Med. 2007;30(3):276-81.
PMID: 17684895 [PubMed - in process]
Lin JW, Lin MS, Lin CM, Tseng CH, Tsai SH, Kan IH, Chiu WT.
Idiopathic syringomyelia: case report and review of the literature.
Acta Neurochir Suppl. 2006;99:117-20.
Butteriss DJ, Birchall D.
A case of syringomyelia associated with cervical spondylosis.
Br J Radiol. 2006 Oct;79(946):e123-5.
Greitz D.
Unraveling the riddle of syringomyelia.
Neurosurg Rev. 2006 Oct;29(4):251-63; discussion 264. Epub 2006 May 31. Review.
Holly LT, Batzdorf U.
Syringomyelia associated with intradural arachnoid cysts.
J Neurosurg Spine. 2006 Aug;5(2):111-6.
Robenek M, Kloska SP, Husstedt IW.
Evidence of familial syringomyelia in discordant association with Chiari type I malformation.
Eur J Neurol. 2006 Jul;13(7):783-5.
Muthukumar N, Venkatesh G, Thiruppathy S.
Arrested hydrocephalus and the presyrinx state. Case report.
J Neurosurg. 2005 Nov;103(5 Suppl):466-70.
Royo-Salvador MB, Sole-Llenas J, Domenech JM, Gonzalez-Adrio R.
Results of the section of the filum terminale in 20 patients with syringomyelia, scoliosis and Chiari malformation.
Acta Neurochir (Wien). 2005 May;147(5):515-23; discussion 523
Kolban M, Darczuk J, Chmielnicki M.
Diagnosis of syringomyelia and Chiari malformations in patients with scoliosis.
Ortop Traumatol Rehabil. 2005 Feb 28;7(1):36-41.
PMID: 17675954 [PubMed - in process]
Doughty KE, Tubbs RS, Webb D, Oakes WJ.
Delayed resolution of Chiari I-associated hydromyelia after posterior fossa decompression: case report and review of the literature.
Neurosurgery. 2004 Sep;55(3):711. Review.
Slitlike syrinx cavities: a persistent central canal.
J Neurosurg. 2002 Sep;97(2 Suppl):161-5.
Alzate JC, Kothbauer KF, Jallo GI, Epstein FJ.
Treatment of Chiari I malformation in patients with and without syringomyelia: a consecutive series of 66 cases.
Neurosurg Focus. 2001 Jul 15;11(1):E3.
Milhorat TH.
Classification of syringomyelia.
Neurosurg Focus. 2000 Mar 15;8(3):E1.
Erkan K, Unal F, Kiris T, Karalar T.
Treatment of terminal syringomyelia in association with tethered cord syndrome: clinical outcomes with and without syrinx drainage.
Neurosurg Focus. 2000 Mar 15;8(3):E9.
Fischbein NJ, Dillon WP, Cobbs C, Weinstein PR.
The "presyrinx" state: is there a reversible myelopathic condition that may precede syringomyelia?
Neurosurg Focus. 2000 Mar 15;8(3):E4.
Heiss JD, Patronas N, DeVroom HL, Shawker T, Ennis R, Kammerer W, Eidsath A, Talbot T, Morris J, Eskioglu E, Oldfield EH.
Elucidating the pathophysiology of syringomyelia.
J Neurosurg. 1999 Oct;91(4):553-62.
Iskandar BJ, Hedlund GL, Grabb PA, Oakes WJ.
The resolution of syringohydromyelia without hindbrain herniation after posterior fossa decompression.
J Neurosurg. 1998 Aug;89(2):212-6.
Sullivan LP, Stears JC, Ringel SP.
Resolution of syringomyelia and Chiari I malformation by ventriculoatrial shunting in a patient with pseudotumor cerebri and a lumboperitoneal shunt.
Neurosurgery. 1988 Apr;22(4):744-7.
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