Management of Posttraumatic Syringomyelia Using an Expansile Duraplasty
- 1 January 1998
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Spine
- Vol. 23 (1), 128-132
- https://doi.org/10.1097/00007632-199801010-00026
Abstract
A patient in whom posttraumatic syringomyelia developed 34 years after an L2 fracture is reported. To review the pathophysiology and current management modalities for posttraumatic syringomyelia. The delayed presentation and management rationale of this case are emphasized. This case represents the most delayed onset of symptoms from a posttraumatic syrinx reported in the literature. Although lysis of arachnoid adhesions and expansile duraplasty to recreate the subarachnoid space have been described for nonshuntable syrinxes, this form of management was used as the primary management modality in this case. A posttraumatic syrinx was managed by lysis of the arachnoid adhesions, fenestration of the cyst, and an expansile duraplasty. After surgery, the patient's symptoms improved, and magnetic resonance imaging showed a decrease in the size of the syrinx. Posttraumatic syringomyelia represents one of the few surgically remediable presentations of spinal cord injury. Consequently, it is necessary to continuously develop and monitor new management options for this disease. In the case reported here, the syrinx was treated successfully without the implanting a drainage tube.Keywords
This publication has 23 references indexed in Scilit:
- Posttraumatic SyringomyeliaNeurosurgery, 1994
- Post-traumatic syringomyelia: a review of the literatureSpinal Cord, 1994
- Progressive post-traumatic cystic and non-cystic myelopathyBritish Journal Of Neurosurgery, 1994
- Neuroendoscopic Technique for the Operative Treatment of Septated SyringomyeliaActa neurochirurgica. Supplementum, 1992
- Post-traumatic spinal cord cysts evaluated by magnetic resonance imagingSpinal Cord, 1991
- Percutaneous Drainage and Serial Magnetic Resonance Imaging in the Diagnosis of Symptomatic Posttraumatic Syringomyelia: Case Report and Review of the LiteratureNeurosurgery, 1991
- Posttraumatic progressive myelopathy. Clinical and radiologic correlation employing MR imaging, delayed CT metrizamide myelography, and intraoperative sonography.Radiology, 1985
- Surgical treatment of syringomyeliaJournal of Neurosurgery, 1984
- Selective spinal cordectomy: clinicopathological correlationJournal of Neurosurgery, 1982
- PATHOGENESIS OF SYRINGOMYELIAThe Lancet, 1972