Top

Published in:

01-04-2018 | Case Report - Spine degenerative

Thoracic ossification of ligamentum flavum manifesting holocord syringomyelia: case report

Authors: Yoshiaki Takamura, Yasuhiro Takeshima, Ryuta Matsuoka, Young Soo Park, Hiroyuki Nakase

Published in: Acta Neurochirurgica | Issue 4/2018

Abstract

It has been reported that syringomyelia is rarely associated with degenerative spinal disorders, but the case of holocord syringomyelia is never reported. We here present a case of a 59-year-old woman with right shoulder pain, dysesthesia of the right hand, and gait disturbance. Radiographically, examinations of the spine demonstrated holocord syringomyelia with ossification of ligamentum flavum at T2/3 level. Holocord syringomyelia was reduced remarkably after posterior decompression at the T2/3 level, and her symptoms also improved. We speculated that holocord syringomyelia might have developed due to craniospinal pressure dissociation caused by focal compression of dural sac from extradural degenerative change.

Ball MJ, Dayan AD (1972) Pathogenesis of syringomyelia. Lancet 2:799–801CrossRefPubMed

Butteriss DJ, Birchall D (2006) A case of syringomyelia associated with cervical spondylosis. Br J Radiol 79:123–123CrossRef

Gardner WJ (1995) Hydrodynamic mechanism of syringomyelia: its relationship to myelocele. J Neurol Neurosurg Psychiatry 28:247–259CrossRef

Kaar GF, N’Dow JM, Bashir SH (1996) Cervical spondylotic myelopathy with srringomyelia. British J Neurosurg 10:413–415CrossRef

Kameyama T, Hashizume Y, Ando T et al (1995) Spinal cord morphology and pathology in ossification of the posterior longitudinal ligament. Brain 118:263–278CrossRefPubMed

Kimura R, Park YS, Nakase H et al (2004) Syringomyelia caused by cervical spondylosis. Acta Neurochir(Wien) 146:175–178CrossRef

Landi A, Nigro L, Marotta N et al (2013) Syringomyelia associated with cervical spondylosis: a rare condition. World J Clin Cases 1:111–115CrossRefPubMedPubMedCentral

Lucci B, Reverberi S, Greco G (1981) Syringomyelia and syringomyelic syndrome by cervical spondylosis. Report on three cases presenting with neurogenic osteoarthropathies. J Neurosurg Sci 25:169–172PubMed

Milhorat TH, Johnson RW, Milhorat RH et al (1995) Clinicopathological correlations in syringomyelia using axial magnetic resonance imaging. Neurosurgery 37:206–213CrossRefPubMed

10.

Rebai R, Boudawara MZ, Ben Yahia M et al (2002) Syringomyelobulbia associated with cervical spondylosis. Pathophysiology and therapeutic implications. Neurochirugie 48:120–123

11.

Williams B (1980) On the pathogenesis of syringomyelia: a review. J R Soc Med 73:798–806CrossRefPubMedPubMedCentral

12.

Williams B et al (1981) Syringomyelia as a sequal to traumatic paraplegia. Paraplegia 19:67–80PubMed

Title: Thoracic ossification of ligamentum flavum manifesting holocord syringomyelia: case report
Authors: Yoshiaki Takamura
Yasuhiro Takeshima
Ryuta Matsuoka
Young Soo Park
Hiroyuki Nakase
Publication date: 01-04-2018
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 4/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-018-3492-1

At a glance: The STEP trials

Springer Medicine

Thoracic ossification of ligamentum flavum manifesting holocord syringomyelia: case report

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2018

Risk of de novo aneurysm formation in patients with unruptured intracranial aneurysms

Intraoperative tools for cerebral bypass surgery

The role of computed tomography in the screening of patients presenting with symptoms of an intracranial tumour

How I do it: endoscopic endonasal approach to the inferior third of the clivus

Influence of ABO blood type on the outcome after non-aneurysmal subarachnoid hemorrhage

Can patients with symptomatic Tarlov cysts be differentiated from patients with specific low back pain based on comprehensive history taking?