130 results match your criteria Posttraumatic Syringomyelia


Subacute posttraumatic ascending myelopathy (SPAM): A potential complication of subarachnoid shunt for syringomyelia?

J Spinal Cord Med 2018 Aug 29:1-5. Epub 2018 Aug 29.

a Department of Neurosurgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , University of Milan , Milan , Italy.

Context: Treatment of primary spinal syringomyelia is still controversial. Among others, shunting syrinx fluid to the subarachnoid, peritoneal or pleural space has been utilized with varying success. Shunt obstruction, migration, and infection represent the most common complications of these procedures. Read More

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http://dx.doi.org/10.1080/10790268.2018.1512735DOI Listing
August 2018
3 Reads

Rhythmic Neck Muscle Spasms and Upper Limb Muscle Myoclonic Jerks as an Unusual Initial Presentation of Posttraumatic Cervicothoracic Syringomyelia: A Case Report.

PM R 2018 Oct 14;10(10):1119-1121. Epub 2018 Mar 14.

Department of Physical Medicine and Rehabilitation, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taiwan; No. 5, Fuxing St, Guishan Dist, Taoyuan City 333, Taiwan.

Posttraumatic syringomyelia with an initial presentation of involuntary movement is rare. We describe a 25-year-old patient who sustained complete traumatic spinal cord injury at the thoracic level and presented with rhythmic neck muscle spasms and upper limb muscle myoclonic jerks 1 month after trauma. Magnetic resonance imaging revealed syrinx formation between C3 and T1. Read More

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http://dx.doi.org/10.1016/j.pmrj.2018.03.006DOI Listing
October 2018
8 Reads

Cell Therapy as a New Approach to the Treatment of Posttraumatic Syringomyelia.

World Neurosurg 2017 Nov 10;107:1047.e5-1047.e8. Epub 2017 Aug 10.

Neurosurgery Service and Neurological Cell Therapy Unit, Department of Surgery, Hospital Puerta de Hierro-Majadahonda, and Autonomous University, Madrid, Spain.

Background: Cell transplantation with autologous bone marrow-derived mesenchymal stromal cells (MSCs) seems to be a therapeutic promise for patients with established spinal cord injury, achieving improvement in their quality of life, but there is no experience with the application of this type of cell therapy in patients suffering posttraumatic syringomyelia.

Objective: To study the possible utility of cell therapy with autologous MSCs in posttraumatic syringomyelia.

Methods: A 40-year-old man with complete paraplegia since 1991 as a consequence of a Th4 vertebral fracture showed a great posttraumatic syringomyelia that extended up to C2 vertebral level, without signs of recent worsening. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.08.019DOI Listing
November 2017
36 Reads

Characteristics of CSF Velocity-Time Profile in Posttraumatic Syringomyelia.

AJNR Am J Neuroradiol 2017 Sep 20;38(9):1839-1844. Epub 2017 Jul 20.

From Neuroscience Research Australia (J.Y., B.B.L., L.B.), Randwick, New South Wales, Australia.

Background And Purpose: The development of syringomyelia has been associated with changes in CSF flow dynamics in the spinal subarachnoid space. However, differences in CSF flow velocity between patients with posttraumatic syringomyelia and healthy participants remains unclear. The aim of this work was to define differences in CSF flow above and below a syrinx in participants with posttraumatic syringomyelia and compare the CSF flow with that in healthy controls. Read More

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http://dx.doi.org/10.3174/ajnr.A5304DOI Listing
September 2017
7 Reads

Spontaneous resolution of an extensive posttraumatic syrinx.

Neurology 2016 09 19;87(12):1299-301. Epub 2016 Aug 19.

From the Spinal Cord Injury Center (T.K., J.R., C.R.J., M.H., A.C.), University Hospital Balgrist, Zurich; Cantonal Hospital St. Gallen (T.K., R.H.), Switzerland; and ICORD (C.R.J.), University of British Columbia, Vancouver, Canada.

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http://dx.doi.org/10.1212/WNL.0000000000003130DOI Listing
September 2016
5 Reads

Longitudinal measurements of syrinx size in a rat model of posttraumatic syringomyelia.

J Neurosurg Spine 2016 Jun 26;24(6):941-8. Epub 2016 Feb 26.

Faculty of Medicine and Health Sciences and.

OBJECTIVE Syringomyelia pathophysiology is commonly studied using rodent models. However, in vivo studies of posttraumatic syringomyelia have been limited by the size of animals and lack of reliable noninvasive evaluation techniques. Imaging the rat spinal cord is particularly challenging because the spinal cord diameter is approximately 1-3 mm, and pathological lesions within the spinal cord parenchyma are even smaller. Read More

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http://dx.doi.org/10.3171/2015.10.SPINE15538DOI Listing
June 2016
21 Reads

Syringosubarachnoid shunting using a myringotomy tube.

Surg Neurol Int 2016 7;7(Suppl 1):S8-S11. Epub 2016 Jan 7.

Department of Neurosurgery, Medical College of Wisconsin, Froedtert Hospital, Milwaukee, WI 53226, USA.

Background: Syringomyelia results from obstruction of cerebrospinal fluid (CSF) flow due to a multitude of causes. Often symptoms of pain, weakness, and sensory disturbance are progressive and require surgical treatment. We present here a rare technique for syringosubarachnoid shunting. Read More

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http://surgicalneurologyint.com/surgicalint_articles/syringo
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http://dx.doi.org/10.4103/2152-7806.173559DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722522PMC
February 2016
11 Reads

Direct-trauma model of posttraumatic syringomyelia with a computer-controlled motorized spinal cord impactor.

J Neurosurg Spine 2016 May 29;24(5):797-805. Epub 2016 Jan 29.

Faculty of Medicine and Health Sciences and.

OBJECTIVE The pathogenesis of posttraumatic syringomyelia remains enigmatic and is not adequately explained by current theories. Experimental investigations require a reproducible animal model that replicates the human condition. Current animal models are imperfect because of their low reliability, severe neurological deficits, or dissimilar mechanism of injury. Read More

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http://dx.doi.org/10.3171/2015.10.SPINE15742DOI Listing
May 2016
29 Reads

The characteristics of posttraumatic syringomyelia.

Spinal Cord 2016 Jun 1;54(6):463-6. Epub 2015 Dec 1.

Clinical Trial Unit, Swiss Paraplegic Centre, Nottwil, Switzerland.

Study Design: Retrospective cross-sectional study.

Objectives: To investigate the characteristics of posttraumatic symptomatic syringomyelia after spinal cord injury (SCI).

Setting: Swiss Paraplegic Centre, Nottwil, Switzerland. Read More

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http://dx.doi.org/10.1038/sc.2015.218DOI Listing
June 2016
7 Reads

Intracranial hypotension after syringopleural shunting in posttraumatic syringomyelia: Case report and review of the literature.

Asian J Neurosurg 2015 Apr-Jun;10(2):158-61

Department of Neurosurgery, The Alfred Hospital, Victoria, Australia ; Department of Surgery, Monash University, Victoria, Australia.

We report a case of a 45-year-old male with a syringopleural shunt who developed intracranial hypotension. The patient presented with 2 weeks history of worsening headache and back pain, on a background of having had a syringopleural shunt inserted for a thoracic posttraumatic syrinx. Computerized tomography imaging of the brain revealed bilateral subdural fluid collections. Read More

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http://dx.doi.org/10.4103/1793-5482.152113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421962PMC
May 2015
11 Reads

The roads to mitochondrial dysfunction in a rat model of posttraumatic syringomyelia.

Authors:
Zhiqiang Hu Jian Tu

Biomed Res Int 2015 13;2015:831490. Epub 2015 Jan 13.

Prince of Wales Clinical School, The University of New South Wales, Sydney, NSW 2052, Australia.

The pathophysiology of posttraumatic syringomyelia is incompletely understood. We examined whether local ischemia occurs after spinal cord injury. If so, whether it causes neuronal mitochondrial dysfunction and depletion, and subsequent energy metabolism impairment results in cell starvation of energy and even cell death, contributing to the enlargement of the cavity. Read More

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http://dx.doi.org/10.1155/2015/831490DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4309244PMC
November 2015
39 Reads

C-5 palsy after cerebrospinal fluid diversion in posttraumatic syringomyelia: case report.

J Neurosurg Spine 2015 Apr 6;22(4):394-8. Epub 2015 Feb 6.

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Syringomyelia is a potentially debilitating disease that involves abnormal CSF flow mechanics; its incidence after traumatic spinal cord injury (SCI) is approximately 15%. Treatment consists of restoration of CSF flow, typically via arachnoidolysis and syrinx decompression. The authors present a case of pronounced syringomyelia in a patient with concomitant severe cervical myelomalacia to demonstrate unilateral C-5 palsy as a potential complication of aggressive syrinx decompression at a remote level. Read More

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http://thejns.org/doi/10.3171/2014.10.SPINE14315
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http://dx.doi.org/10.3171/2014.10.SPINE14315DOI Listing
April 2015
30 Reads

Posttraumatic syringomyelia: a technical note.

Turk Neurosurg 2014 ;24(4):618-22

Koc University, School of Medicine, Department of Neurosurgery, Istanbul, Turkey.

Aim: Previous studies have not identified a preferred surgical technique to treat posttraumatic syringomyelia. Both syringopleural shunting and arachnoidolysis are used in neurosurgery practice for the surgical treatment of posttraumatic syringomyelia. In this study, we present a new technique designed to achieve a better outcome following surgery. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.8609-13.1DOI Listing
April 2015
39 Reads

Post-traumatic syringomyelia: outcome predictors.

Clin Neurol Neurosurg 2014 Sep 17;124:44-50. Epub 2014 Jun 17.

Department of Neurosurgery, University of Iowa Carver College of Medicine, 200 Hawkins Dr, Iowa City, IA 52242, USA.

Objective: To identify risk factors that predispose to post-traumatic syringomyelia (PTS) and describe the outcome of surgical management.

Methods: Retrospective cohort study of 27 patients with post-traumatic syringomyelia. Spinal cord injury of these patients spanned the period from 1963 to 2008. Read More

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http://dx.doi.org/10.1016/j.clineuro.2014.06.007DOI Listing
September 2014
7 Reads

Arachnolysis or cerebrospinal fluid diversion for adult-onset syringomyelia? A Systematic review of the literature.

World Neurosurg 2015 May 27;83(5):829-35. Epub 2014 Jun 27.

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. Electronic address:

Objective: To identify surgical practice patterns in the literature for nonpediatric syringomyelia by systematic review and to determine the following: 1) What is the best clinical practice of cerebrospinal fluid (CSF) diversion to maximize clinical improvement or to achieve the lowest recurrence rate? 2) Does arachnolysis, rather than CSF diversion, lead to prolonged times to clinical recurrence?

Methods: A database search comprising PubMed, Cochrane Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Cochrane Database of Systematic Reviews was conducted to find pertinent articles on postinfectious, posttraumatic, or idiopathic syringomyelia.

Results: An advanced PubMed search in August 2012 yielded 1350 studies, including 12 studies meeting Oxford Centre for Evidence-Based Medicine criteria for level IV evidence as a case series, with a total of 410 patients (mean age, 39 years). Data on 486 surgeries were collected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750140059
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http://dx.doi.org/10.1016/j.wneu.2014.06.044DOI Listing
May 2015
17 Reads

Syringomyelia coexisting with guillain-barre syndrome.

Ann Rehabil Med 2013 Oct 29;37(5):745-9. Epub 2013 Oct 29.

Department of Physical Medicine and Rehabilitation, Kyung Hee University College of Medicine, Seoul, Korea.

Guillain-Barre syndrome (GBS) and syringomyelia are diseases of different entities. GBS is an acute post-infectious autoimmune disease which is mediated by autoantibodies against the myelin of peripheral nerves. Syringomyelia is a chronic disease characterized by a cavity extending longitudinally inside the spinal cord. Read More

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http://dx.doi.org/10.5535/arm.2013.37.5.745DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825956PMC
October 2013
12 Reads

Subarachnoid-subarachnoid bypass: a new surgical technique for posttraumatic syringomyelia.

J Neurosurg Spine 2013 Apr 22;18(4):382-7. Epub 2013 Feb 22.

Department of Orthopedic Surgery, Japan Labour Health and Welfare Organization, Spinal Injuries Center, Fukuoka, Japan.

Object: The origin of posttraumatic syringomyelia is not completely understood. With respect to posttraumatic syringomyelia, the optimum management strategy for patients with spinal cord injury has also not been established. The authors hypothesized that reconstruction of the subarachnoid channels would reestablish CSF flow, thereby addressing the underlying cause of the syrinx formation. Read More

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http://dx.doi.org/10.3171/2013.1.SPINE12828DOI Listing
April 2013
5 Reads

Treatment of posttraumatic syringomyelia.

Authors:
Jörg Klekamp

J Neurosurg Spine 2012 Sep 13;17(3):199-211. Epub 2012 Jul 13.

Department of Neurosurgery, Christliches Krankenhaus, Quakenbrück, Germany.

Object: This paper presents results of a prospective study for patients undergoing surgery for posttraumatic syringomyelia between 1991 and 2010.

Methods: A group of 137 patients with posttraumatic syringomyelia were evaluated (mean age 45 ± 13 years, mean follow-up 51 ± 51 months) with pre- and postoperative MRI and clinical examinations presenting in this period and followed prospectively by outpatient visits and questionnaires. Surgery was recommended for symptomatic patients with a progressive course. Read More

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http://dx.doi.org/10.3171/2012.5.SPINE11904DOI Listing
September 2012
11 Reads

Air gun impactor--a novel model of graded white matter spinal cord injury in rodents.

J Reconstr Microsurg 2012 Oct 18;28(8):561-8. Epub 2012 Jun 18.

Department of Physiology, Center of Excellence for Research and Teaching of Matrix Biology and Nanotechnology, Network of CoE BioMedTech Silesia; School of Medicine in Katowice, Medical University of Silesia, ul. Medyków 4, Katowice, Poland.

Understanding mechanisms of spinal cord injury and repair requires a reliable experimental model. We have developed a new device that produces a partial damage of spinal cord white matter by means of a precisely adjusted stream of air applied under high pressure. This procedure is less invasive than standard contusion or compression models and does not require surgical removal of vertebral bones. Read More

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http://dx.doi.org/10.1055/s-0032-1315779DOI Listing
October 2012
20 Reads

Fluid outflow in a large-animal model of posttraumatic syringomyelia.

Neurosurgery 2012 Aug;71(2):474-80; discussion 480

Australian School of Advanced Medicine, Macquarie University, Sydney, New South Wales, Australia.

Background: Posttraumatic syringomyelia affects approximately 28% of spinal cord injury patients, and current treatments are often ineffective. The pathogenesis of this condition remains poorly understood. Previous reports have focused on pathways and mechanisms of fluid inflow; however, disturbances of fluid outflow mechanisms and pathways may be important in syrinx formation and enlargement. Read More

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http://dx.doi.org/10.1227/NEU.0b013e31825927d6DOI Listing
August 2012
6 Reads

Giant intradiploic pseudomeningocele of occipital bone.

J Neurosurg Pediatr 2012 Jan;9(1):82-5

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

The management of intradiploic CSF collection is controversial. Although it is a benign lesion, even then delay in diagnosis and treatment may lead to significant morbidity. The authors report a very rare case of giant posttraumatic intradiploic pseudomeningocele involving the occipital bone, occipital condyles, and clivus. Read More

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http://dx.doi.org/10.3171/2011.10.PEDS1181DOI Listing
January 2012
6 Reads

Posttraumatic syringomyelia.

J Neurosurg Spine 2011 May 25;14(5):570-2; discussion 572. Epub 2011 Feb 25.

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http://dx.doi.org/10.3171/2010.4.SPINE1047DOI Listing
May 2011
6 Reads

Reaction of endogenous progenitor cells in a rat model of posttraumatic syringomyelia.

J Neurosurg Spine 2011 May 25;14(5):573-82. Epub 2011 Feb 25.

Prince of Wales Medical Research Institute, Sydney, New South Wales, Australia

Object: Endogenous stem cells theoretically could replace lost tissue and repair deficits caused by syringes. In this study the authors quantitatively examined 1) whether neural progenitor cells exist in an adult rat model of posttraumatic syringomyelia (PTS); 2) and if so, how long an active population of progenitor cells can persist; 3) whether the cell population's location is associated with the syrinx; 4) the degree of differentiation of the progenitor cells; and 5) the phenotypic fate of the progenitor cells.

Methods: Wistar rats were divided into intact, sham-operated, and experimental syrinx groups. Read More

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http://dx.doi.org/10.3171/2011.1.SPINE09491DOI Listing
May 2011
6 Reads

A lumped-parameter model of the cerebrospinal system for investigating arterial-driven flow in posttraumatic syringomyelia.

Med Eng Phys 2011 Sep 15;33(7):874-82. Epub 2010 Sep 15.

Department of Mechanical Engineering, Curtin University, Perth, WA, Australia.

Fluid transport in syringomyelia has remained enigmatic ever since the disease was first identified some three centuries ago. However, accumulating evidence in the last decade from animal studies implicates arterial pulsations in syrinx formation. In particular, it has been suggested that a phase difference between the pressure pulse in the spinal subarachnoid space and the perivascular spaces, due to a pathologically disturbed cerebrospinal fluid (CSF) or blood supply, could result in a net influx of CSF into the spinal cord (SC). Read More

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http://dx.doi.org/10.1016/j.medengphy.2010.07.009DOI Listing
September 2011
5 Reads

Impact of cordectomy as a treatment option for posttraumatic and non-posttraumatic syringomyelia with tethered cord syndrome and myelopathy.

J Neurosurg Spine 2010 Aug;13(2):193-9

Department of Neurosurgery, Heinrich-Heine University, Moorenstrasse 5, D-40225 Düsseldorf, Germany.

Object: Spinal cordectomy has recently become more important in the treatment of end-stage posttraumatic or postoperative syringomyelia and arachnopathy as a last resort to manage ascending neurological dysfunction, spasticity, and pain in paraplegic patients. The aim in this study was to confirm a clinical benefit in strict indications for cordectomy.

Methods: Between February 2000 and September 2007, 15 spinal cordectomies were performed at the Department of Neurosurgery, Cantonal Hospital, St. Read More

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https://thejns.org/view/journals/j-neurosurg-spine/13/2/arti
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http://dx.doi.org/10.3171/2010.3.SPINE0976DOI Listing
August 2010
15 Reads

Surgical treatment of posttraumatic syringomyelia.

Neurosurgery 2010 Jun;66(6):1120-7; discussion 1127

Department of Neurosurgery, Bicetre University Hospital, Bicetre, France.

Objective: The present study evaluates the effectiveness of 2 surgical procedures, shunting and untethering, for posttraumatic syringomyelia.

Methods: We retrospectively reviewed the medical charts of all surgical patients with posttraumatic syringomyelia in our department. Shunting was performed before 1997; after 1997, we used arachnoidolysis and untethering. Read More

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http://dx.doi.org/10.1227/01.NEU.0000369609.30695.ABDOI Listing
June 2010
10 Reads

Decompressive surgery in a patient with posttraumatic syringomyelia.

J Korean Neurosurg Soc 2010 Mar 31;47(3):228-31. Epub 2010 Mar 31.

Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Posttraumatic syringomyelia may result from a variety of inherent conditions and traumatic events, or from some combination of these. Many hypotheses have arisen to explain this complex disorder, but no consensus has emerged. A 28-year-old man presented with progressive lower extremity weakness, spasticity, and decreased sensation below the T4 dermatome five years after an initial trauma. Read More

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http://dx.doi.org/10.3340/jkns.2010.47.3.228DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851081PMC
March 2010
5 Reads

Role of the blood-spinal cord barrier in posttraumatic syringomyelia.

J Neurosurg Spine 2009 Dec;11(6):696-704

Australian School of Advanced Medicine, Macquarie University, and Prince of Wales Medical Research Institute, University of New South Wales, New South Wales, Australia.

Object: Posttraumatic syringomyelia produces a significant burden of pain and neurological deficits in patients with spinal cord injury. The mechanism of syrinx formation is unknown and treatment is often ineffective. A possible explanation for syrinx formation is fluid leakage from the microcirculation in the presence of a compromised blood-spinal cord barrier (BSCB). Read More

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http://dx.doi.org/10.3171/2009.6.SPINE08564DOI Listing
December 2009
6 Reads

Posttraumatic spinal cord tethering and syringomyelia: surgical treatment and long-term outcome.

J Neurosurg Spine 2009 Oct;11(4):445-60

Department of Neurosurgery, Craig Hospital, Englewood, Colorado 80113, USA.

Object: Permanent neurological loss after spinal cord injury (SCI) is a well-known phenomenon. There has also been a growing recognition and improved understanding of the pathophysiological mechanisms of late progressive neurological loss, which may occur after SCI as a result of posttraumatic spinal cord tethering (SCT), myelomalacia, and syringomyelia. A clinical study of 404 patients sustaining traumatic SCIs and undergoing surgery to arrest a progressive myelopathy caused by SCT, with or without progressive myelomalacia and cystic cavitation (syringomyelia) was undertaken. Read More

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http://dx.doi.org/10.3171/2009.4.SPINE09333DOI Listing
October 2009
64 Reads

Chronic neuropathic pain in spinal cord injured patients: what is the effectiveness of surgical treatments excluding central neurostimulations?

Ann Phys Rehabil Med 2009 Mar 23;52(2):194-202. Epub 2009 Feb 23.

Service de neurotraumatologie, hôtel-Dieu, CHU de Nantes, 44093 Nantes cedex, France.

Objectives: Analyzing the literature and elaborating recommendations on the following topics: relevance of dorsal root entry zone (DREZ) lesions, surgical treatment for posttraumatic syringomyelia, other therapeutic approaches (peripheral nerve root pain, nerve trunk pain and Sign Posterior Cord [SCI] pain).

Material And Methods: The methodology used, proposed by the French Society of Physical Medicine and Rehabilitation (SOFMER), includes a systematic review of the literature, the gathering of information regarding current clinical practices and a validation by a multidisciplinary panel of experts.

Results: Ninety-two articles were selected, 10 with a level of evidence at 2, 82 with a level of evidence at 4. Read More

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http://dx.doi.org/10.1016/j.rehab.2008.12.016DOI Listing
March 2009
4 Reads

Thecal shunt placement for treatment of obstructive primary syringomyelia.

J Neurosurg Spine 2008 Dec;9(6):581-8

Department of Neurosurgery, University of California Los Angeles, California, USA.

Object: The most commonly reported treatment of primary syringomyelia has been laminectomy with duraplasty or direct shunting from the syrinx cavity. Diversion of cerebrospinal fluid (CSF) from the spinal subarachnoid space to peritoneal, atrial, or pleural cavities has been described previously in only a few case reports. Shunting of the CSF from the subarachnoid space rostral to the level of myelographic blockage may reduce the filling force of the syrinx cavity and avoids myelotomy and manipulation of the spinal cord parenchyma. Read More

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https://thejns.org/view/journals/j-neurosurg-spine/9/6/artic
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http://dx.doi.org/10.3171/SPI.2008.10.08638DOI Listing
December 2008
9 Reads

[Posttraumatic syringomyelia developing soon after spinal cord injury. A case report].

No Shinkei Geka 2008 Oct;36(10):895-900

Department of Neurosurgery and Spine Surgery, Yukioka Hospital, Japan.

We report a case of posttraumatic syringomyelia (PTS) that developed 10 months after spinal cord injury (SCI), A 46-year-old man was involved in a motorcycle accident, in which he received a severe spinal cord injury due to a burst fracture at the T6 level. The patient underwent posterior fixation without decompression at another hospital, and was transferred to our hospital for rehabilitation. Ten months after the SCI, he complained of back and neck pain caused by bending his head backward. Read More

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October 2008
5 Reads

Syringomyelia from complicated posttraumatic hydrocephalus.

Am J Phys Med Rehabil 2008 Nov;87(11):967-8

Physical Medicine and Rehabilitation, Virginia Commonwealth University, 1201 Broad Rock Blvd., Richmond, VA 23249, USA.

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http://dx.doi.org/10.1097/PHM.0b013e31818a6b84DOI Listing
November 2008
8 Reads

Flexor myoclonus of the arm due to posttraumatic cervico-thoracic syringomyelia.

Authors:
M Sollberger P Fuhr

J Neurol 2008 Aug 4;255(8):1275-7. Epub 2008 Jul 4.

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http://dx.doi.org/10.1007/s00415-008-0894-7DOI Listing
August 2008
3 Reads

Mechanistic insights into posttraumatic syringomyelia based on a novel in vivo animal model. Laboratory investigation.

J Neurosurg Spine 2008 Apr;8(4):365-75

Division of Cell and Molecular Biology, Toronto Western Research Institute, Krembil Neuroscience Center, University Health Network, University of Toronto, Ontario, Canada.

Object: Although posttraumatic syringomyelia (PTS) develops in up to 30% of patients after spinal cord injury (SCI), the pathophysiology of this debilitating complication is incompletely understood. To provide greater insight into the mechanisms of this degenerative sequela of SCI, the authors developed and characterized a novel model of PTS.

Methods: The spinal cords of 64 female Wistar rats were injured by 35-g modified aneurysm clip compression at the level of T6-7. Read More

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http://dx.doi.org/10.3171/SPI/2008/8/4/365DOI Listing
April 2008
5 Reads

Minimally invasive insertion of syringosubarachnoid shunt for posttraumatic syringomyelia: technical case report.

Neurosurgery 2007 Nov;61(5 Suppl 2):E331-2; discussion E332

Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois 60612, USA.

Objective: Symptomatic posttraumatic syringomyelia affects up to 10% of patients with spinal cord injuries and manifests in a delayed manner as progressive sensorimotor changes below the level of the syrinx. Syrinx shunting, and in particular syringosubarachnoid shunting (SSAS), provides neurological improvement or stabilization in at least 50% of these patients. Given the debilitated condition of many of these patients, a minimally invasive approach to the insertion of these devices is desirable. Read More

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http://dx.doi.org/10.1227/01.neu.0000303990.03235.81DOI Listing
November 2007
13 Reads

Surgery for posttraumatic syringomyelia: a retrospective study of seven patients.

Chin J Traumatol 2007 Dec;10(6):366-70

Department of Neurosurgery, First Affiliated Hospital, Medical College, Zhejiang University, Hangzhou 310009, China.

Objective: To analyze retrospectively the clinical symptoms, signs, radiological findings and results of treatment of posttraumatic syringomyelia.

Methods: The data of 7 patients with posttraumatic syringomyelia confirmed by computerized tomography (CT) and magnetic resonance imaging (MRI) in our hospital between 1999 and 2004 were reviewed retrospectively. The patients underwent decompressive laminectomy or syringo-subarachnoid (S-S) shunting with microsurgery. Read More

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December 2007
5 Reads

Guillain-Barre syndrome: A possibility in a spinal cord injured patient.

Indian J Orthop 2007 Jul;41(3):239-40

Yorkshire Regional Spinal Injury Centre, Pinderfields General Hospital, Wakefield, UK.

A 28-year-old male had paraplegia as a result of fracture dislocation of T12/L1 six years ago. He was functioning independently until four weeks ago, when he started complaining of trunkal paraesthesia which later progressed to include the upper extremities. The initial diagnosis was that of posttraumatic syringomyelia (PTS). Read More

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http://www.ijoonline.com/text.asp?2007/41/3/239/33690
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http://dx.doi.org/10.4103/0019-5413.33690DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989126PMC
July 2007
5 Reads

Posttraumatic syringomyelia.

J Neurosurg Spine 2007 Feb;6(2):193; author reply 193-4

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http://dx.doi.org/10.3171/spi.2007.6.2.193DOI Listing
February 2007
7 Reads

Unraveling the riddle of syringomyelia.

Authors:
Dan Greitz

Neurosurg Rev 2006 Oct 31;29(4):251-63; discussion 264. Epub 2006 May 31.

Department of Neuroradiology and MR Research Center, Karolinska University Hospital, S-171 76, Stockholm, Sweden.

The pathophysiology of syringomyelia development is not fully understood. Current prevailing theories suggest that increased pulse pressure in the subarachnoid space forces cerebrospinal fluid (CSF) through the spinal cord into the syrinx. It is generally accepted that the syrinx consists of CSF. Read More

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http://dx.doi.org/10.1007/s10143-006-0029-5DOI Listing
October 2006
11 Reads

Treatment of posttraumatic syringomyelia with extradural decompressive surgery.

Neurosurg Focus 2000 Mar 15;8(3):E8. Epub 2000 Mar 15.

Division of Neurosurgery, UCLA Medical Center, Los Angeles, California, USA.

The authors review the management of five patients with posttraumatic syringomyelia (PTS) associated with an uncorrected spinal deformity. Patients with evidence of progressive neurological deterioration underwent ventral spinal decompressive surgery. The mean patient age at the time of injury was 39 years, and the time between injury and the diagnosis of PTS ranged from 2 to 22 years. Read More

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March 2000
11 Reads

Cordectomy for the treatment of posttraumatic syringomyelia. Report of four cases and review of the literature.

J Neurosurg Spine 2006 Feb;4(2):174-8

Division of Neurosurgery, St. Michael's Hospital, University of Toronto, Ontario, Canada.

Cordectomy is an effective treatment option in patients in whom posttraumatic syringomyelia develops following complete spinal cord injuries. Since the introduction of cordectomy, numerous approaches to the surgical treatment of posttraumatic syringomyelia have been developed. These newer developments have drawn the attention of surgeons and researchers away from cordectomy. Read More

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http://dx.doi.org/10.3171/spi.2006.4.2.174DOI Listing
February 2006
3 Reads

Dyspnea: an unusual presentation of posttraumatic syringomyelia.

Am J Phys Med Rehabil 2006 Feb;85(2):185-6

Division of Rehabilitation Medicine, Department of Orthopaedics, Brown University Medical School, East Providence, Rhode Island, USA.

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February 2006
6 Reads

Primary spinal syringomyelia. Invited submission from the joint section meeting on disorders of the spine and peripheral nerves, March 2005.

Authors:
Ulrich Batzdorf

J Neurosurg Spine 2005 Dec;3(6):429-35

Division of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California 90095-6901, USA.

In the present review the author describes the different types of syringomyelia that originate from abnormalities at the level of the spinal cord rather than at the craniovertebral junction. These include posttraumatic and postinflammatory syringomyelia, as well as syringomyelia associated with arachnoid cysts and spinal cord tumors. The diagnosis and the principles of managing these lesions are discussed, notably resection of the entity restricting cerebrospinal fluid flow. Read More

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http://dx.doi.org/10.3171/spi.2005.3.6.0429DOI Listing
December 2005
4 Reads

Progressive syringomyelia controlled by treatment of associated hydrocephalus in an infant with birth injury. Case report.

Authors:
Joseph H Piatt

J Neurosurg 2005 Aug;103(2 Suppl):198-202

Section of Neurosurgery, St Christopher's Hospital for Children, Philadelphia, Pennsylvania 19134-1095, USA.

The author's aim in reporting this case is to extend awareness of the importance of management of associated hydrocephalus among patients with syringomyelia to the posttraumatic state. A full-term infant was delivered by cesarean section because of transverse lie. In the 2nd week of life, hypotonia affecting the lower limbs and the left upper limb was recognized. Read More

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http://dx.doi.org/10.3171/ped.2005.103.2.0198DOI Listing
August 2005
27 Reads

Myelopathy: a report of two cases.

J Manipulative Physiol Ther 2005 Sep;28(7):539-46

Department of Radiology, Logan College of Chiropractic, Chesterfield, Mo 63006-1065, USA.

Objective: To present diagnostic imaging findings of two cases of cervical myelopathy, with different etiologies, presenting to a chiropractic office.

Clinical Features: The patient with acute transverse myelitis had neck and upper back pain and nonspecific headaches for 40 years. The patient with posttraumatic syringomyelia experienced intermittent left arm pain starting in the anterolateral shoulder and radiating down the arm into the third, fourth, and fifth digits. Read More

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http://dx.doi.org/10.1016/j.jmpt.2005.07.013DOI Listing
September 2005
6 Reads

Posttraumatic syringomyelia--a serious complication in tetra- and paraplegic patients.

Acta Neurochir Suppl 2005 ;93:165-7

Department of Neurosurgery, BG-Unfallklinik Murnau, Murnau, Germany.

Post-traumatic syringomyelia (PTS) is relatively rare, but its complications can be serious. In the beginning of the operative treatment (1900-1930), scarring could be reduced to a certain degree. In modern treatment (1980 1990) a shunt implantation showed also little effect in long-term follow-up studies. Read More

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July 2005
7 Reads

Worsening myelopathy masked by peripheral nerve disorders.

J Spinal Cord Med 2004 ;27(1):72-7

Spinal Cord Injury Service, DVA Puget Sound Health Care System, Seattle, Washington 98108, USA.

Background/objective: Peripheral nerve disorders--whether due to peripheral nerve entrapment or to polyneuropathy--can alter the signs of myelopathy, masking both the sensory loss and distal hyperreflexia. Diagnosis of worsening myelopathy may be missed when there is a coexisting peripheral nerve disorder.

Methods: This study is a case description and analysis of 3 consecutive cases identified over 2 years. Read More

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June 2004
7 Reads

Altered subarachnoid space compliance and fluid flow in an animal model of posttraumatic syringomyelia.

Spine (Phila Pa 1976) 2003 Oct;28(20):E413-9

Prince of Wales Medical Research Institute, Barker Street, Randwick, New South Wales 2031 Australia.

Study Design: A histologic study of cerebrospinal fluid tracers in Sprague-Dawley rats undergoing lumboperitoneal shunt insertion in the excitotoxic animal model of posttraumatic syringomyelia (PTS).

Objectives: To determine the effects of cerebrospinal fluid (CSF) diversion from the subarachnoid space on perivascular flow (PVS) and syrinx formation in posttraumatic syringomyelia.

Summary Of Background Data: In an animal model of PTS, fluid enters syringes from the subarachnoid space via perivascular spaces. Read More

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http://pdfs.journals.lww.com/spinejournal/2003/10150/23.pdf
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http://dx.doi.org/10.1097/01.BRS.0000092346.83686.B9DOI Listing
October 2003
18 Reads