Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Syringo-Pleural Shunt for Failed Syringosubarachnoid Shunt in Posttraumatic Syringomyelia - A Case Report -

공동-지주막하 단락술로 실패한 외상후 척수공동증에 대한 공동-흉막강 단락술 - 증례보고 -

  • Lee, Chang-Woo (Department of Neurosugery, Eulji University School of Medicine) ;
  • Kim, Yong-Seog (Department of Neurosugery, Eulji University School of Medicine) ;
  • Lee, Jong-Sun (Department of Neurosugery, Eulji University School of Medicine) ;
  • Park, Moon-Sun (Department of Neurosugery, Eulji University School of Medicine) ;
  • Ha, Ho-Gyun (Department of Neurosugery, Eulji University School of Medicine) ;
  • Kim, Joo-Seung (Department of Neurosugery, Eulji University School of Medicine)
  • 이창우 (을지대학교 의과대학 신경외과학교실) ;
  • 김용석 (을지대학교 의과대학 신경외과학교실) ;
  • 이종선 (을지대학교 의과대학 신경외과학교실) ;
  • 박문선 (을지대학교 의과대학 신경외과학교실) ;
  • 하호균 (을지대학교 의과대학 신경외과학교실) ;
  • 김주승 (을지대학교 의과대학 신경외과학교실)
  • Received : 2000.03.03
  • Accepted : 2001.04.14
  • Published : 2001.05.28
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Abstract

The authors report a case of syringo-pleural shunt for recurrent distal obstruction of syringosubarachnoid shunt in a 23-year-old woman. She complained of tingling sensation and dysesthesia on the left upper extremity. Neuroradiologic imaging studies revealed syringomyelia in the left lateral side of the cord from medulla to 7th thoracic cord level. We identified intraoperatively high internal pressure of the syrinx cavity due to distal shunt tube obstruction. Syringo-pleural shunt was performed and cavity size was markedly decreased at later follow up MRI. In conclusion, the posttraumatic syrinx, especially in cases with previous syringosubarachnoid shunt or diffuse subarachnoid scarring, can be successfully managed with syringo-pleural shunt.

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