Clinical Features of Post-Traumatic Syringomyelia.
10.13004/kjnt.2014.10.2.66
- Author:
Hyun Gon KIM
1
;
Han San OH
;
Tae Wan KIM
;
Kwan Ho PARK
Author Information
1. Department of Neurosurgery, VHS Medical Center, Seoul, Korea. spineho@naver.com
- Publication Type:Original Article
- Keywords:
Spinal cord injuries;
Syringomyelia;
Decompression surgical;
Duraplasty;
Arachnoidolysis
- MeSH:
Humans;
Retrospective Studies;
Spinal Cord Injuries;
Spinal Injuries;
Syringes;
Syringomyelia*
- From:Korean Journal of Neurotrauma
2014;10(2):66-69
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The purpose of this study was to analyze the clinical manifestations, radiological findings, treatment results, and clinical significance of post-traumatic syringomyelia (PTS). METHODS: We retrospectively reviewed the medical charts of nine surgical patients with symptomatic PTS between 1992 and 2012. RESULTS: The most common clinical manifestation was development of new motor weakness. The mean interval between the initial injury and the onset of new symptoms 21.9 years. The mean length of the syringes observed on preoperative magnetic resonance images was 7.8 spinal levels. Shunting procedures were performed in five patients. Four patients underwent arachnoidolysis and duraplasty. Patients developed mechanical shunt failure. Postoperatively, one patient showed clinical improvement, four patients were stable, and four patients showed deterioration. CONCLUSION: PTS is a disabling sequelae of spinal cord injury, which develops months to years after spinal injury. We have to consider that patients with PTS may have poor long-term outcome.
