J Neurosurg 1989 May;70(5):721-7
Department of Neurological Surgery, University of Virginia School of Medicine, Charlottesville.
This study was undertaken to investigate whether a direct communication between the fourth ventricle and the syrinx exists in the majority of patients with syringohydromelia and whether intraspinal pressure plays a role in the pathogenesis of this disorder. A series of 13 patients with syringohydromyelia delineated by magnetic resonance (MR) imaging was reviewed, and the intracranial pressure (ICP) and lumbar spinal pressure (LSP) were recorded concomitantly in three patients. Lumboperitoneal shunting was performed in seven patients, six of whom also underwent myelotomy of the caudal spinal cord. Read More