Primary spinal syringomyelia: a personal perspective.

Abstract:

:In this paper the author summarizes currently available surgical approaches to spinal syringomyelia that is unrelated to Chiari I malformation or hindbrain descent. Primary spinal syringomyelia is most commonly associated with spinal trauma but is also encountered as a sequela to intradural inflammatory processes (infections or chemical), as a delayed response to surgical procedures, and in association with intra- and extradural neoplasms as well as disc protrusions. The advantages of placing a shunt are its technical simplicity and immediate reduction of syrinx size; its major disadvantages are the high rate of failure observed in long-term follow up and the difficulty in applying this technique in septated cysts. Expansion of the subarachnoid space with resection of scars has better long-term results. Patients in whom a syrinx cavity has caused a kyphotic spinal deformity may need to undergo a procedure in which the kyphotic deformity is corrected to expand the subarachnoid space. Cyst obliteration is an experimental approach that cannot be evaluated at the present time.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Batzdorf U

doi

10.3171/foc.2000.8.3.7

subject

Has Abstract

pub_date

2000-03-15 00:00:00

pages

E7

issue

3

issn

1092-0684

pii

080307

journal_volume

8

pub_type

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