Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Syringomyelia in the Tethered Spinal Cords

  • Lee, Ji Yeoun (Division of Pediatric Neurosurgery, Seoul National University Children's Hospital) ;
  • Kim, Kyung Hyun (Division of Pediatric Neurosurgery, Seoul National University Children's Hospital) ;
  • Wang, Kyu-Chang (Division of Pediatric Neurosurgery, Seoul National University Children's Hospital)
  • Received : 2020.03.29
  • Accepted : 2020.04.06
  • Published : 2020.05.01
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Abstract

Cases of syringomyelia associated with spinal dysraphism are distinct from those associated with hindbrain herniation or arachnoiditis in terms of the suspected pathogenetic mechanism. The symptoms of terminal syringomyelia are difficult to differentiate from the symptoms caused by spinal dysraphism. Nonetheless, syringomyelia has important clinical implications, as it is an important sign of cord tethering. The postoperative assessment of syringomyelia should be performed with caution.

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References

  1. Beaumont A, Muszynski CA, Kaufman BA : Clinical significance of terminal syringomyelia in association with pediatric tethered cord syndrome. Pediatr Neurosurg 43 : 216-221, 2007 https://doi.org/10.1159/000098834
  2. Bowman RM, McLone DG, Grant JA, Tomita T, Ito JA : Spina bifida outcome: a 25-year prospective. Pediatr Neurosurg 34 : 114-120, 2001 https://doi.org/10.1159/000056005
  3. Bruzek AK, Starr J, Garton HJL, Muraszko KM, Maher CO, Strahle JM : Syringomyelia in children with closed spinal dysraphism: long-term outcomes after surgical intervention. J Neurosurg Pediatr 25 : 209-300, 2020 https://doi.org/10.3171/2019.9.PEDS18579
  4. Caldarelli M, Di Rocco C, La Marca F : Treatment of hydromyelia in spina bifida. Surg Neurol 50 : 411-420, 1998 https://doi.org/10.1016/S0090-3019(97)00457-6
  5. Erkan K, Unal F, Kiris T, Karalar T : Treatment of terminal syringomyelia in association with tethered cord syndrome: clinical outcomes with and without syrinx drainage. Neurosurg Focus 8 : E9, 2000
  6. Greitz D: Unraveling the riddle of syringomyelia. Neurosurg Rev 29 : 251-263; discussion 264, 2006 https://doi.org/10.1007/s10143-006-0029-5
  7. Iskandar BJ, Oakes WJ, McLaughlin C, Osumi AK, Tien RD : Terminal syringohydromyelia and occult spinal dysraphism. J Neurosurg 81 : 513-519, 1994 https://doi.org/10.3171/jns.1994.81.4.0513
  8. Kashlan ON, Wilkinson DA, Morgenstern H, Khalsa SS, Maher CO : Predictors of surgical treatment in children with tethered fibrofatty filum terminale. J Neurosurg Pediatr 25 : 97-208, 2020 https://doi.org/10.3171/2019.7.PEDS19272
  9. Kim KH, Lee JY, Cheon JE, Kim IO, Wang KC : A suggestion to the article "Whole spine MRI is not required in investigating uncomplicated paediatric lumbosacral lipoma: a retrospective single-institution review": extended lumbosacral spine MRI. Childs Nerv Syst 36 : 7-8, 2020 https://doi.org/10.1007/s00381-019-04387-7
  10. Layard Horsfall H, Chari A, Huttunen T, Simcock C, D'Arco F, Thompson D : Whole spine MRI is not required in investigating uncomplicated paediatric lumbosacral lipoma. A retrospective single-institution review. Childs Nerv Syst 35 : 2163-2169, 2019 https://doi.org/10.1007/s00381-019-04373-z
  11. Lee JY, Kim SW, Kim SP, Kim H, Cheon JE, Kim SK, et al. : A rat model of chronic syringomyelia induced by epidural compression of the lumbar spinal cord. J Neurosurg Spine 27 : 458-467, 2017 https://doi.org/10.3171/2016.9.SPINE16188
  12. Lee JY, Phi JH, Cheon JE, Kim SK, Kim IO, Cho BK, et al. : Preuntethering and postuntethering courses of syringomyelia associated with tethered spinal cord. Neurosurgery 71 : 23-29, 2012 https://doi.org/10.1227/NEU.0b013e31824cebc6
  13. Tsitouras V, Sgouros S : Syringomyelia and tethered cord in children. Childs Nerv Syst 29 : 1625-1634, 2013 https://doi.org/10.1007/s00381-013-2180-y