Chiari malformation and syringomyelia in monozygotic twins: birth injury as a possible cause of syringomyelia--case report.

Abstract:

:A 26-year-old female, the elder of monozygotic twins, presented with slow progressive numbness and pain in her left arm. Magnetic resonance (MR) imaging showed syringomyelia with Chiari malformation. The patient's birth had been difficult with prolonged delivery time, breech delivery, and neonatal asphyxia. MR imaging of the patient's twin sister showed mild tonsillar ectopia, but absence of syringomyelia. This younger sister was born without problems. The patient underwent syringosubarachnoid shunt at the C5-6 level. The syrinx was collapsed promptly, and her symptoms disappeared. This case of syringomyelia with Chiari malformation in one of twins suggests that birth injury is likely to be a cause of the pathogenesis of syringomyelia.

authors

Iwasaki Y,Hida K,Onishi K,Nanba R

doi

10.2176/nmc.40.176

keywords:

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

176-8

issue

3

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/40.176

journal_volume

40

pub_type

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