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Acta Neurochirurgica

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19-06-2023 | Syringomyelia | How I Do it

Syringopleural shunt for refractory syringomyelia: how I do it

Authors: Paolo Perrini, Nicola Benedetto, Alberto Vercelli, Davide Tiziano Di Carlo

Published in: Acta Neurochirurgica | Issue 10/2023

Abstract

Background

Surgical treatment of syringomyelia is directed at the reconstruction of the subarachnoid space and restoration normal cerebrospinal fluid flow. Direct intervention on the syrinx is a rescue procedure and should be offered to patients with refractory syringomyelia.

Methods

We provide an overview on indications and technique of syringopleural shunt (SPS). The procedure involves the connection of syrinx with the pleural space using a lumboperitoneal shunt. The occurrence of a negative pressure inside the pleural compartment offers an appropriate gradient for drainage from the syrinx.

Conclusions

The SPS allows for a safe and effective treatment of persistent syringomyelia when management of the underlying cause does not yield substantial improvement.

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Title: Syringopleural shunt for refractory syringomyelia: how I do it
Authors: Paolo Perrini
Nicola Benedetto
Alberto Vercelli
Davide Tiziano Di Carlo
Publication date: 19-06-2023
Publisher: Springer Vienna
Keywords: Syringomyelia
Chiari Malformation
Chiari Malformation
Motor Evoked Potential
Motor Evoked Potential
Incision
Laminectomy
Published in: Acta Neurochirurgica / Issue 10/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-023-05654-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Syringopleural shunt for refractory syringomyelia: how I do it

Abstract

Background

Methods

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Conclusions

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