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Syringomyelia

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Persistent Syringomyelia After Posterior Fossa Decompression for Chiari Malformation.

Umberto Tosi, Jacques Lara-Reyna, John Chae, Roshann Sepanj, Mark M Souweidane, Jeffrey P Greenfield,

BACKGROUND:Chiari malformation (CM) is often comorbid with syringomyelia. The treatment of CM via posterior fossa decompression (PFD) may not improve syringomyelia in up to 40% of patients, based on historical cohorts. Management of these patients is problematic, as both reoperation and syrinx shunting have high failure rates in the long ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 136:454-461.e1]

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Rapid progression of acute cervical syringomyelia: A case report of delayed complications following spinal cord injury.

Chenghua Yuan, Jian Guan, Fengzeng Jian,

Context: Post-traumatic syringomyelia treatment usually focuses on restoring normal cerebrospinal fluid (CSF) flow. Herein, the first-reported case of delayed post-traumatic syringomyelia associated with an L2 compression fracture 30 years prior to syringomyelia symptoms that rapidly progressed to the brainstem within 5 months, leading to respiratory and circulatory impairments, is summarized. ... Read more >>

J Spinal Cord Med (The journal of spinal cord medicine)
[2020, :1-5]

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Medical infrared thermal imaging of syringomyelia in the Cavalier King Charles Spaniel

Dominic Marino, Michael Larkin, Catherine Loughin, Curtis Dewey, Scott Umbaugh, Joseph Sackman,

<title>Abstract</title> <p> Background Medical infrared thermal imaging (MITI) is a non-invasive imaging modality gaining popularity in the veterinary field. An infrared camera captures emission of heat and creates a color map in the form of a thermogram. Topical heat emission is influenced by localized disease processes as a ... Read more >>

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Surgical Treatment of Scoliosis-Associated with Syringomyelia: The Role of Syrinx Size.

Ce Zhu, Siqing Huang, Yueming Song, Hao Liu, Limin Liu, Xi Yang, Chunguang Zhou, Bowen Hu, Haifeng Chen,

Background:The treatment of the syrinx prior to correction of the scoliosis in syringomyelia-associated scoliosis (SMS) patients remains controversial. The aim of this study is to evaluate the role of the syrinx size in the management of SMS patients. Materials and Methods:This was a retrospective study of 36 SMS patients. They ... Read more >>

Neurol India (Neurology India)
[2020, :]

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Silent post-traumatic syringomyelia and syringobulbia.

Giorgio Scivoletto, Marcella Masciullo, Floriana Pichiorri, Marco Molinari,

INTRODUCTION:Post-traumatic syringomyelia is a complication of traumatic spinal cord injury consisting in the development of a cavity within the spinal cord. Once considered an uncommon complication, its diagnosis has increased due to increased attention and advances in medical technology. Common symptoms of the syrinx are a sensory loss of the ... Read more >>

Spinal Cord Ser Cases (Spinal cord series and cases)
[2020, 6(1):15]

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Mechanical quantitative sensory testing in cavalier King Charles spaniels with and without syringomyelia.

Ashley C Hechler, Eric T Hostnik, Laurie B Cook, Lynette K Cole, Sarah A Moore,

BACKGROUND:Syringomyelia (SM) is a debilitating condition in the cavalier King Charles spaniel (CKCS) that results in neuropathic pain and diminished quality of life. Von Frey aesthesiometry (VFA) is a method of mechanical quantitative sensory testing that provides an objective sensory threshold (ST) value and can be used to quantify neuropathic ... Read more >>

BMC Vet. Res. (BMC veterinary research)
[2020, 16(1):94]

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Factors associated with syrinx size in pediatric patients treated for Chiari malformation type I and syringomyelia: a study from the Park-Reeves Syringomyelia Research Consortium.

Andrew T Hale, P David Adelson, Gregory W Albert, Philipp R Aldana, Tord D Alden, Richard C E Anderson, David F Bauer, Christopher M Bonfield, Douglas L Brockmeyer, Joshua J Chern, Daniel E Couture, David J Daniels, Susan R Durham, Richard G Ellenbogen, Ramin Eskandari, Timothy M George, Gerald A Grant, Patrick C Graupman, Stephanie Greene, Jeffrey P Greenfield, Naina L Gross, Daniel J Guillaume, Gregory G Heuer, Mark Iantosca, Bermans J Iskandar, Eric M Jackson, James M Johnston, Robert F Keating, Jeffrey R Leonard, Cormac O Maher, Francesco T Mangano, J Gordon McComb, Thanda Meehan, Arnold H Menezes, Brent O'Neill, Greg Olavarria, Tae Sung Park, John Ragheb, Nathan R Selden, Manish N Shah, Matthew D Smyth, Scellig S D Stone, Jennifer M Strahle, Scott D Wait, John C Wellons, William E Whitehead, Chevis N Shannon, David D Limbrick, ,

OBJECTIVE:Factors associated with syrinx size in pediatric patients undergoing posterior fossa decompression (PFD) or PFD with duraplasty (PFDD) for Chiari malformation type I (CM-I) with syringomyelia (SM; CM-I+SM) are not well established. METHODS:Using the Park-Reeves Syringomyelia Research Consortium registry, the authors analyzed variables associated with syrinx radiological outcomes in patients ... Read more >>

J Neurosurg Pediatr (Journal of neurosurgery. Pediatrics)
[2020, :1-11]

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Klippel-Feil Syndrome With Auxiliary Anterior Cervical Meningomyelocele and Thoracic Syringomyelia: A Case Report.

Mehtab Alam, Ayaz Ul Haq, Muzaffar Shah, Usman Haqqani, Sajjad Ullah,

STUDY DESIGN:Case report. OBJECTIVE:Since this is the first ever case of a male patient with Klippel-Feil syndrome (KFS) with anterior cervical meningomyelocele and syringomyelia. All four previously reported cases were female patients. This makes this case unique. SUMMARY OF BACKGROUND DATA:KFS with auxiliary anterior cervical meningomyelocele is a rare entity. ... Read more >>

Spine (Spine)
[2020, 45(6):E342-E345]

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Abnormalities in spinal cord ultrastructure in a rat model of post-traumatic syringomyelia.

Joel Berliner, Sarah Hemley, Elmira Najafi, Lynne Bilston, Marcus Stoodley, Magdalena Lam,

BACKGROUND:Syringomyelia is a serious complication of spinal cord trauma, occurring in approximately 28% of spinal cord injuries. Treatment options are limited and often produce unsatisfactory results. Post-traumatic syringomyelia (PTS) is presumably related to abnormalities of cerebrospinal fluid (CSF) and interstitial fluid hydrodynamics, but the exact mechanisms are unknown. METHODS:Transmission electron ... Read more >>

Fluids Barriers CNS (Fluids and barriers of the CNS)
[2020, 17(1):11]

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Repeat craniocervical decompression in patients with a persistent or worsening syrinx: a preliminary report and early results for 8 cases.

Chenghua Yuan, Jian Guan, Yueqi Du, Can Zhang, Longbing Ma, Qingyu Yao, Lei Cheng, Zhenlei Liu, Kai Wang, Wanru Duan, Xingwen Wang, Hao Wu, Zan Chen, Fengzeng Jian,

OBJECT:FMD remains the first-line treatment for CM-I associated with syringomyelia, although consistent approaches are not used. However, there are few reports on a persistent or recurrent syrinx or worsening neurological symptoms after FMD. METHODS:We retrospectively reviewed medical records of patients who attended Xuanwu Hospital between January 2018 and July 2019 ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Syringomyelia in a patient with concurrent post-traumatic hydrocephalus and tethered spinal cord: implications for surgical management.

Yingda Li, Barth Green,

World Neurosurg (World neurosurgery)
[2020, :]

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A Combinatorial Approach with Cerebellar Tonsil Suspension to Treating Symptomatic Chiari Malformation Type I in Adults: A Retrospective Study.

Lei Wang, Hongyang Zhao, Wende Zhu, Pengfei Yan, Yang D Teng,

BACKGROUND:Primary Chiari malformations (CM) are congenital defects of the skull base and brain. Among the four CM types, type I (CM-I) occurs most frequently and may cause somatosensorimotor, autonomic and vision symptoms. Presently, posterior fossa decompression alone (PFD) or with duraplasty (PFDD) and cerebellar tonsil (CbT) shrinkage tactics are standard ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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CSF goes astray no matter what is in the way: occipital intradiploic pseudomeningocele and de novo syringomyelia following foramen magnum decompression for Chiari I malformation in a pediatric patient.

Arthur R Kurzbuch, Shailendra Magdum,

Nontraumatic intradiploic pseudomeningoceles and de novo syringomyelia formation are very rare entities. The authors have previously reported the case of a 4-year-old girl who underwent foramen magnum decompression without dural closure for Chiari I malformation. Three years after the operation an intradiploic pseudomeningocele was documented, but the patient was lost ... Read more >>

J Neurosurg Pediatr (Journal of neurosurgery. Pediatrics)
[2020, :1-6]

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An analysis of clinical risk factors for adolescent scoliosis caused by spinal cord abnormalities in China: proposal for a selective whole-spine MRI examination scheme.

Wei Xu, Xiangyang Zhang, Ying Zhu, Xiaodong Zhu, Zhikun Li, Dachuan Li, Jianjun Jia, Liwei Chen, Silian Wang, Yushu Bai, Ming Li,

BACKGROUND:Approximately 80% of adolescent scoliosis cases are idiopathic, and some non-idiopathic scoliosis cases caused by spinal cord abnormalities are misdiagnosed as idiopathic scoliosis. This study examined the risk factors for non-idiopathic scoliosis with intramedullary abnormalities, explored the feasibility of whole-spine MRI, and provided a theoretical basis for the routine diagnosis ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):187]

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Recrudescence of the syringomyelia after surgery of Chiari malformation type 1 with duraplasty.

Coskun Yolas, Ayhan Kanat,

Background: Few case reports describe an increase in the size of syringomyelia and the worsening of neurologic symptoms after surgery for foramen magnum decompression. We report three such cases.Material and method: Retrospective review of patients with Chiari malformation (CM) and syringomyelia operated at the Erzurum Regional Hospital, Department of Neurosurgery ... Read more >>

Br J Neurosurg (British journal of neurosurgery)
[2020, :1-4]

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Tremor Caused by Dandy-Walker Syndrome Concomitant with Syringomyelia: Case Report and Review of the Literature Review.

Yiqi Wang, Shunyuan Guo, Liang'e Xu, Yu Geng, Zongjie Shi, Bing Lei, Yuyuan Ma, Meiping Wang,

BACKGROUND:Dandy-Walker Syndrome (DWS) is a rare congenital brain malformation characterized by underdevelopment of cerebellar vermis and cystic enlargement of the fourth ventricle and enlargement of the posterior fossa. The cooccurrence of DWS and syringomyelia in adults is very rare. CASE DESCRIPTION:We report a man aged 19 years who presented with ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 136:301-304]

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Radiological outcome after surgical treatment of syringomyelia-Chiari I complex in adults: a systematic review and meta-analysis.

Paolo Perrini, Yury Anania, Federico Cagnazzo, Nicola Benedetto, Riccardo Morganti, Davide Tiziano Di Carlo,

Foramen magnum decompression (FMD) is widely accepted as the standard treatment for syringomyelia associated with Chiari type I malformation (CMI). Despite extensive clinical investigations, relevant surgical details are still matter of debate. The authors performed a systematic review and meta-analysis of the literature examining the radiological outcome of syringomyelia in ... Read more >>

Neurosurg Rev (Neurosurgical review)
[2020, :]

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Somatosensory and motor evoked potentials during correction surgery of scoliosis in neurologically asymptomatic Chiari malformation-associated scoliosis: A comparison with idiopathic scoliosis.

Bo Shi, Junyin Qiu, Liang Xu, Yang Li, Dengxu Jiang, Sanqiang Xia, Zhen Liu, Xu Sun, Benlong Shi, Zezhang Zhu, Yong Qiu,

OBJECTIVES:To analyze the somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs) in neurologically asymptomatic Chiari malformation-associated scoliosis (CMS) patients with and without syringomyelia as compared with those in idiopathic scoliosis (IS) ones, and to identify whether the deformities have impacts on the neurophysiological monitoring. PATIENTS AND METHODS:This study included ... Read more >>

Clin Neurol Neurosurg (Clinical neurology and neurosurgery)
[2020, 191:105689]

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Chiari I malformations with syringomyelia: long-term results of neurosurgical decompression.

Bram P Verhofste, Eric A Davis, Patricia E Miller, Michael T Hresko, John B Emans, Lawrence I Karlin, Daniel J Hedequist, Brian D Snyder, Edward R Smith, Mark R Proctor, Michael P Glotzbecker,

STUDY DESIGN:Retrospective case series. OBJECTIVES:The objective was to assess the long-term outcomes on scoliosis following Chiari-I (CM-I) decompression in patients with CM-I and syringomyelia (SM). A secondary objective was to identify risk factors of scoliosis progression. BACKGROUND:The association between CM-I with SM and scoliosis is recognized, but it remains unclear ... Read more >>

Spine Deform (Spine deformity)
[2020, 8(2):233-243]

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Prevalence and Impact of Underlying Diagnosis and Comorbidities on Chiari 1 Malformation.

Brooke Sadler, Timothy Kuensting, Jennifer Strahle, Tae Sung Park, Matthew Smyth, David D Limbrick, Matthew B Dobbs, Gabe Haller, Christina A Gurnett,

BACKGROUND:Chiari malformation type 1 affects approximately one in 1,000 people symptomatically, although one in 100 meet radiological criteria, making it a common neurological disorder. The diagnosis of underlying conditions has become more sophisticated, and new radiological markers of disease have been described. We sought to determine the prevalence and impact ... Read more >>

Pediatr. Neurol. (Pediatric neurology)
[2020, :]

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[From cellulitis to arthrodesis].

Armita Zaim, Boris Gojanovic, Alexandre Lädermann, Timon Meynard,

Neuropathic arthropathy is a pathology involving both upper and lower limbs. Different neurological diseases can cause this arthropathy. For instance, shoulder Charcot arthropathies are mostly associated to syringomyelia. The initial diagnosis of this arthropathy is difficult and often delayed in the presence of usually non specific symptoms. Since articular destruction ... Read more >>

Rev Med Suisse (Revue medicale suisse)
[2020, 16(680):278-281]

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Tonsillectomy with modified reconstruction of the cisterna magna with and without craniectomy for the treatment of adult Chiari malformation type I with syringomyelia.

Bolin Liu, Yuan Wang, Shujuan Liu, Yufu Zhang, Dan Lu, Lei Chen, Tao Zheng, Tianzhi Zhao, Lanfu Zhao, Eric W Sankey, Guodong Gao, Yan Qu, Shiming He,

BACKGROUND:In light of the controversies regarding the surgical treatment of adult Chiari malformation type I (CM-I) with syringomyelia, a retrospective study was conducted to evaluate the safety and efficacy of tonsillectomy followed by modified reconstruction of the cisterna magna with or without craniectomy. METHODS:Between 2008 and 2017, 78 adult CM-I ... Read more >>

Acta Neurochir (Wien) (Acta neurochirurgica)
[2020, :]

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Chiari Malformation and Syringomyelia Associated with Hirayama Disease.

Atul Goel, Neha Jadhav, Abhidha Shah, Survendra Rai, Ravikiran Vutha,

BACKGROUND:To the best of our knowledge, the presence of Chiari formation and Hirayama disease in the same patient has not been previously reported. On the basis of the presented case, we have attempted to identify the common pathogenesis of both of these clinical entities. CASE DESCRIPTION:We have reported a case ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 135:241-244]

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Prevalence and clinical relevance of underlying pathological conditions in painful adolescent idiopathic scoliosis: a MRI-based study.

Norman Ramírez, Gerardo Olivella, Alejandro Cuneo, Luis Carrazana, Nicole Ramírez, Iván Iriarte,

STUDY DESIGN:Cross-sectional comparative study. OBJECTIVES:Evaluate prevalence and clinical relevance of an underlying pathology in painful adolescent idiopathic scoliosis (AIS) patients after a non-diagnostic history, physical examination and spinal X-ray using Magnetic Resonance Image (MRI) as diagnostic tool. Discrepancies regarding indications of routine MRI screening in painful AIS patients are multifactorial. ... Read more >>

Spine Deform (Spine deformity)
[2020, :]

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Effect of NT-3 on repair of spinal cord injury through the MAPK signaling pathway.

J Ye, R Xue, Z-Y Ji, C-J Zou, Y-Q Chen, J-J Wang, X-D Cheng,

OBJECTIVE:The aim of this study was to explore the effect of neurotrophin-3 (NT-3) on the repair of spinal cord injury (SCI) through the mitogen-activated protein kinase (MAPK) signaling pathway. MATERIALS AND METHODS:The rat model of SCI was first successfully established using the impactor (SCI group). Meanwhile, control group and NT-3 ... Read more >>

Eur Rev Med Pharmacol Sci (European review for medical and pharmacological sciences)
[2020, 24(5):2165-2172]

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