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Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

Shunting of recurrent post-traumatic syringomyelia into the fourth ventricle: a case report

Author: Chih-Lung Lin

Published in: Journal of Medical Case Reports | Issue 1/2010

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Abstract

Introduction

Post-traumatic syringomyelia is a progressive degenerative disorder that is a well-recognized sequela of spinal cord injury. There is currently no optimal intervention capable of producing satisfactory long-term clinical results.

Case presentation

In this report, we present a 55-year-old Asian man with recurrent syringomyelia after shunt treatment. The syrinx extended from the thoracic cord into the medulla. We used a silicone tube to create a channel connecting the syrinx cavity directly to the fourth ventricle. The patient made a good recovery and follow-up magnetic resonance imaging revealed a considerable diminution in the size of the syrinx.

Conclusions

We present a new approach that has the potential to improve the outcome of patients with recurrent post-traumatic syringomyelia, who cannot be treated by conventional methods.
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Literature
1.
go back to reference Anton HA, Schweigel JF: Posttraumatic syringomyelia: the British Columbia experience. Spine. 1986, 11: 865-868. 10.1097/00007632-198611000-00003.CrossRefPubMed Anton HA, Schweigel JF: Posttraumatic syringomyelia: the British Columbia experience. Spine. 1986, 11: 865-868. 10.1097/00007632-198611000-00003.CrossRefPubMed
2.
go back to reference Ball MJ, Dayan AD: Pathogeneisis of syingomyelia. Lancet. 1972, 2: 799-801. 10.1016/S0140-6736(72)92152-6.CrossRefPubMed Ball MJ, Dayan AD: Pathogeneisis of syingomyelia. Lancet. 1972, 2: 799-801. 10.1016/S0140-6736(72)92152-6.CrossRefPubMed
3.
go back to reference Kl HC, Yoshinobu I, Hiroyuki I, Kazutoshi H, Hiroshi A: Experimental model of posttraumatic syringomyelia: the role of adhesive arachnoiditis in syrinx formation. J Neurosurg. 1994, 80: 133-139. 10.3171/jns.1994.80.1.0133.CrossRef Kl HC, Yoshinobu I, Hiroyuki I, Kazutoshi H, Hiroshi A: Experimental model of posttraumatic syringomyelia: the role of adhesive arachnoiditis in syrinx formation. J Neurosurg. 1994, 80: 133-139. 10.3171/jns.1994.80.1.0133.CrossRef
4.
go back to reference Milhorat TH, Capocelli AL, Anzil AP, Kotzen RM, Milhorat RH: Pathological basis of spinal cord cavitation in syringomyelia: analysis of 105 autopsy cases. J Neurosurg. 1995, 82: 802-812. 10.3171/jns.1995.82.5.0802.CrossRefPubMed Milhorat TH, Capocelli AL, Anzil AP, Kotzen RM, Milhorat RH: Pathological basis of spinal cord cavitation in syringomyelia: analysis of 105 autopsy cases. J Neurosurg. 1995, 82: 802-812. 10.3171/jns.1995.82.5.0802.CrossRefPubMed
5.
go back to reference Barbaro NM, Wilson CB, Gutin PH, Edwards MB: Surgical treatment of syringomyelia. Favorable results with syringoperitoneal shunting. J Neurosurg. 1984, 61: 531-538. 10.3171/jns.1984.61.3.0531.CrossRefPubMed Barbaro NM, Wilson CB, Gutin PH, Edwards MB: Surgical treatment of syringomyelia. Favorable results with syringoperitoneal shunting. J Neurosurg. 1984, 61: 531-538. 10.3171/jns.1984.61.3.0531.CrossRefPubMed
6.
go back to reference Lee TT, Alameda GJ, Camilo E, Green BA: Surgical treatment of post-traumatic myelopathy associated with syringomyelia. Spine. 2001, 26 (24 Suppl): S119-S127. 10.1097/00007632-200112151-00020.CrossRefPubMed Lee TT, Alameda GJ, Camilo E, Green BA: Surgical treatment of post-traumatic myelopathy associated with syringomyelia. Spine. 2001, 26 (24 Suppl): S119-S127. 10.1097/00007632-200112151-00020.CrossRefPubMed
7.
go back to reference Hida K, Iwasaki Y, Imamura H: Posttraumatic syringomyelia: its characteristic magnetic resonance imaging findings and surgical management. Neurosurgery. 1994, 35: 886-891. 10.1227/00006123-199411000-00012.CrossRefPubMed Hida K, Iwasaki Y, Imamura H: Posttraumatic syringomyelia: its characteristic magnetic resonance imaging findings and surgical management. Neurosurgery. 1994, 35: 886-891. 10.1227/00006123-199411000-00012.CrossRefPubMed
Metadata
Title
Shunting of recurrent post-traumatic syringomyelia into the fourth ventricle: a case report
Author
Chih-Lung Lin
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-210

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