On occasion of a hydrosyringomyelie accompanied with communicating hydrocephalus which was managed successfully and literature referred, the authors had some remarks about management of this disease. Some remarks of such as: the disease often appears in one region, most in cervical and upper thoracic of the spinal canal. It is the rare disease caused by many sources. It may be congenital approximately 50-70% of CHIARI I (Menezes) and 40-95% of CHIAR II (Naidich). It may be also secondary to spinal trauma, myelitis (virus, bacteria, tuber culosis bacillus...vv.) Signals and symptoms are poorly. The diagnosis is difficulty but no longer now because of applying MRI. Since this disease is accompanied with others malformations, the management have some differences, depending on the caused of the disease
Spinal Diseases ; Diagnosis ; Therapeutics

Chronic progressive radiation myelopathy(CPRM) is a rare but serious complication of radiation therapy. It's exact cause is unknown and the diagnosis is usually made based on the exclusion of other causes of myelopathy. Magnetic resonance imaging(MRI) with gadolinium- diethylenetriamine pentaacetic acid(DTPA) enhancement seems to be useful for the diagnosis of CPRM. There is no known effective treatment and the complication is irreversible. We report a case of CPRM after radiation therapy for subglottic cancer which was not respond to high-dose steroid therapy with review of literature.
Diagnosis ; Spinal Cord Diseases*

STUDY DESIGN: A literature review on the radiologic findings of pelvic parameters for treatment of spinal deformity OBJECTIVES: This review examines sagittal spine alignment, pelvic parameters, and methods for assessing alignment, and examines the relationships among all of these parameters to understand spinal deformity. SUMMARY OF LITERATURE REVIEW: Understanding the main pelvic and sagittal spinal parameters and recognizing their correlation is imperative in the diagnosis and treatment of various spinal disorders. MATERIALS AND METHODS: Review of the literature. RESULTS: As spinal and pelvic parameters tend to have a strong correlation, it is essential to measure not only spinal parameters but also pelvic parameters in analyzing sagittal balance. Degenerative changes have the potential to greatly disrupt the normal curvature of the spine, leading to sagittal malalignment. Analysis of sagittal balance is crucial to optimizing the management of spinal diseases. Improvement in surgical outcomes may be achieved through better understanding of radiographic spino-pelvic parameters and their association with deformity. CONCLUSIONS: Understanding spinal and pelvic parameters raises awareness of the relationship among alignment and balance, the soft tissue envelope, and compensatory mechanisms, which will, in turn, provide a more comprehensive understanding of the nature of spinal deformity and the modalities with which it is treated.
Congenital Abnormalities ; Diagnosis ; Spinal Diseases ; Spine

Cervical Vertebrae ; Humans ; Spinal Diseases ; diagnosis ; Surgeons

The recent development of image techniques, including computed tomography and magnetic resonance imaging, plays an important role in the diagnosis and treatment of spinal disease. A variety of lesions in the spine may contain fat tissue, and these lesions have the possibility of being benign or malignancy. The principle of treatment varies depending on the characteristics of the lesions. The purpose of this pictorial assay is to document the radiologic findings to help physicians make the correct diagnosis, to confirm the characteristics and the extent of the lesion, to anticipate the prognosis and to select and decide upon the therapeutic method when a fat-containing lesion is located in the spinal vertebrae and/or spinal canal.
Diagnosis ; Magnetic Resonance Imaging ; Prognosis ; Spinal Canal* ; Spinal Diseases ; Spine*

The recent development of image techniques, including computed tomography and magnetic resonance imaging, plays an important role in the diagnosis and treatment of spinal disease. A variety of lesions in the spine may contain fat tissue, and these lesions have the possibility of being benign or malignancy. The principle of treatment varies depending on the characteristics of the lesions. The purpose of this pictorial assay is to document the radiologic findings to help physicians make the correct diagnosis, to confirm the characteristics and the extent of the lesion, to anticipate the prognosis and to select and decide upon the therapeutic method when a fat-containing lesion is located in the spinal vertebrae and/or spinal canal.
Diagnosis ; Magnetic Resonance Imaging ; Prognosis ; Spinal Canal* ; Spinal Diseases ; Spine*

Idiopathic spinal cord herniation is a rare spinal cord disorder caused by spinal cord prolapse through a adural defect. It is a curable disease, so early detection is of particular importance. We report a 38-year-old woman with Brown-Sequard syndrome which was caused by the thoracic spinal cord herniation. Her weakness was almost completely resolved after surgical management, which emphasizes the importance of early diagnosis and surgical management in this rare disease entity.
Adult ; Brown-Sequard Syndrome* ; Early Diagnosis ; Female ; Humans ; Prolapse ; Rare Diseases ; Spinal Cord Diseases ; Spinal Cord*

The thoracic portion of the spinal cord is susceptible to compression by hypertrophic ossification of the spinal ligament in the thoracic spinal canal. Unlike ossification of the posterior longitudinal ligament(OPLL) in the cervical spine, however, thoracic myelopathy due to ossification of the ligamentum flavum(OLF) may be overlooked, misdiagnosed, or treated inappropriately. This is mainly because of lack of knowledge of this condition. We therefore describe our experience with 22 cases of thoracic myelopathy secondary to ossification of the ligamentum flavum among 45 cases of thoracic stenosis. The clinical manifestations of this condition and the results of its surgical treatment are described. The most common cause of thoracic stenosis was OLF(48.9%) and the most common symptoms were numbness or tingling in the legs(81.8%) and motor weakness of the lower extremities(72.7%). Radiologically, OLF occurred mainly at intervertebral segments T9-T10 through T12-L1(86.2%), the most prevalent site was T11-T12(31.0%). Most OLF involved multiple intervertebral segments(81.8%) particularly two or three segments (59.1%). Eleven of the 22 patients were also suffering from other ossified conditions such as OPLL(45.5%) at other spinal sites, suggesting that ossification has a common underlying etiology. According to the authors' experience, surgical treatment, particularly laminectomy, was usually successful and outcomes were very promising(excellent, 27.3% ; good, 45.5%). OLF of the thoracic spine is no longer an uncommon condition and the authors believe that early diagnosis and appropriate surgical treatment, before irreversible damage to the spinal cord has occurred, may be the key to better results.
Constriction, Pathologic* ; Early Diagnosis ; Humans ; Hypesthesia ; Laminectomy ; Ligaments ; Ligamentum Flavum* ; Spinal Canal ; Spinal Cord ; Spinal Cord Diseases ; Spinal Stenosis ; Spine

The rheumatoid activity on any part of the spine may affect the surrounding nerves, causing a series of symptoms at the related region of the innervations. By pressing corresponding parts on spinous processes of patient spine, tenderness of various degrees occurs. We named this kind of symptoms as "the spinous process tenderness syndrome". Meanwhile, we borrowed laboratory and imaging examinations to diagnose and differential identify. The symptoms could be alleviated by eliminating pathogenic reasons, local resting, and anti-rheumatic drugs.
Female ; Humans ; Male ; Middle Aged ; Pain ; diagnosis ; Rheumatic Diseases ; diagnosis ; Spinal Diseases ; diagnosis ; Terminology as Topic

Idiopathic hypertrophic pachymeningitis (IHP) is a rare disease, and it is characterized by chronic progressive inflammatory fibrosis and thickening of the dura mater with resultant compression of the spinal cord or neural structure without any identifiable cause. It can occur in the intracranial or spinal dura mater alone or as a craniospinal form. The spinal form is rarer than the cranial form and the craniospinal form is extremely rare. We report a rare case of IHP in the craniocervical junction involving both the cranial and spinal dura mater and discuss the diagnosis and management of the disease.
Diagnosis ; Dura Mater ; Fibrosis ; Meningitis* ; Rare Diseases ; Spinal Cord