Elucidating the pathophysiology of syringomyelia
Elucidating the pathophysiology of syringomyelia - who is peyton manning dating
There was no evidence of tonsilar descent and the cistern magna was well seen [Figure 1]a-d.Cine MRI was performed to document CSF flow which showed obstruction of CSF flow in the spinal subarachnoid space opposite C4-C6 and free flow of CSF both anterior and posterior to the spinal cord at the foramen magnum [Figure 2]a and b.
We discuss the case of a 53-year-old lady who presented with a syringomyelic syndrome and was found to have cervical spondylosis on imaging.The patient underwent decompression and stabilization but on a follow-up MRI the syrinx showed progression.The most recent theory is the one where the syrinx itself is formed by extracellular fluid movement into the spinal cord parenchyma due to a dissociation of intraparenchymal and subarachnoid pulse pressure.An MRI was performed 3 months following surgery which showed almost complete resolution of the syrnix with small residual signal changes opposite C4 [Figure 3]a and b.The association of cervical spondylosis with syrinx is an extremely rare entity with very few previous reports in literature. in a description of three cases of neurogenic osteopathy secondary to a syringomyelia found that one of their cases had an associated cervical compressive element at C4.Dynamic flexion-extension x-rays of the cervical spine did not show any instability. Management The patient underwent a decompressive laminectomy from C3-C6 and recovered uneventfully following surgery.
She was followed up 6 weeks, 3 months and 6 months following surgery and reported significant reduction in the parasthesias.There is a potential causal association between cervical spondylosis and syringomyelia.MRI CSF flow studies may help in deciding the course of treatment in such cases.Is the Thoracolumbar Injury Classification and Severity Score (TLICS) Superior to the AO Thoracolumbar Injury Classification System for Guiding the Surgical Management of Unstable Thoracolumbar Burst Fractures without Neurological Deficit? In some adult patients with cervical syringomyelia, MRI studies do not identify primary disease within the foramen magnum or spinal canal.In addition, she noted impaired pain and temperature sensation in the right upper limb. Neurologically, she had weakness and wasting of the small muscles of the right hand, with normal tone.