Click Here to return To Results

 

Post-Traumatic Syringomyelia (Cystic Myelopathy) :A Prospective Study of 449 People with Spinal Cord Injury JNNP 60:61-67, Schurch,B.,et al, 1996 See this aricle in Pubmed Article Abstract Of these 449 patients,20 patients displayed symptoms of PTS(4-4.5%).Ten nonoperated patients remained clinically stable(average time:37 months). Ten worsened,three refused operation and seven were operated on.Mean worsening time was 97 months.Deterioration was closely related to the enlargement of the cyst whereas in operated patients neurological improvement or stabilization correlated with collapse of the cyst.Delay between appearance of the first symptoms of PTS and deterioration making surgery necessary may be long(mean five years in the seven operated patients)underlining the need for regular tests."Slosh"and"suck"mechanisms could explain cyst enlargement as surgical realignment of the sine resulted in a complete cyst collapse in two of the operated patients (normalization of CSF flow?).Cord compression,tense syrinx at the fracture site,and kyphosis seemed to be closely linked to the enlargement of the cyst with subsequent further neurological deterioration.

Related Tags

(click to filter results - removes previous filter) MRI MRI,abnormal MRI,spinal cord myelopathy myelopathy,ascending review article spinal cord,injury of syringomyelia syringomyelia,posttraumatic trauma

Click Here to return To Results