Syringomyelia Is Associated with a Reduction in Spinal Canal Compliance, Venous Outflow Dilatation and Glymphatic Fluid Obstruction

The cause of the cystic dilatation of the cord found in syringomyelia has been a source of conjecture for a considerable time. Recent studies have shown that there is a reduction in craniospinal compliance in both childhood hydrocephalus and multiple sclerosis which leads to venous outflow dilatatio...

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Main Authors: Grant Alexander Bateman, Alexander Robert Bateman
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/20/6646
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author Grant Alexander Bateman
Alexander Robert Bateman
author_facet Grant Alexander Bateman
Alexander Robert Bateman
author_sort Grant Alexander Bateman
collection DOAJ
description The cause of the cystic dilatation of the cord found in syringomyelia has been a source of conjecture for a considerable time. Recent studies have shown that there is a reduction in craniospinal compliance in both childhood hydrocephalus and multiple sclerosis which leads to venous outflow dilatation. Both diseases are associated with glymphatic outflow obstruction. Venous dilatation will narrow the perivenous glymphatic outflow pathway and lead to an increase in glymphatic outflow resistance. Syringomyelia has been shown to be associated with reduced spinal canal compliance. This paper discusses the possibility that venous dilatation and obstructed glymphatic outflow within the cord may be behind the cystic dilatation found within syringomyelia.
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spelling doaj.art-8c1a3141107748c59902410219fd8f5e2023-11-19T16:53:59ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220664610.3390/jcm12206646Syringomyelia Is Associated with a Reduction in Spinal Canal Compliance, Venous Outflow Dilatation and Glymphatic Fluid ObstructionGrant Alexander Bateman0Alexander Robert Bateman1Department of Medical Imaging, John Hunter Hospital, Newcastle, NSW 2305, AustraliaSchool of Mechanical Engineering, University of New South Wales, Sydney, NSW 2502, AustraliaThe cause of the cystic dilatation of the cord found in syringomyelia has been a source of conjecture for a considerable time. Recent studies have shown that there is a reduction in craniospinal compliance in both childhood hydrocephalus and multiple sclerosis which leads to venous outflow dilatation. Both diseases are associated with glymphatic outflow obstruction. Venous dilatation will narrow the perivenous glymphatic outflow pathway and lead to an increase in glymphatic outflow resistance. Syringomyelia has been shown to be associated with reduced spinal canal compliance. This paper discusses the possibility that venous dilatation and obstructed glymphatic outflow within the cord may be behind the cystic dilatation found within syringomyelia.https://www.mdpi.com/2077-0383/12/20/6646syringomyeliacomplianceglymphatic drainagevenous dilatationimpedance pump
spellingShingle Grant Alexander Bateman
Alexander Robert Bateman
Syringomyelia Is Associated with a Reduction in Spinal Canal Compliance, Venous Outflow Dilatation and Glymphatic Fluid Obstruction
Journal of Clinical Medicine
syringomyelia
compliance
glymphatic drainage
venous dilatation
impedance pump
title Syringomyelia Is Associated with a Reduction in Spinal Canal Compliance, Venous Outflow Dilatation and Glymphatic Fluid Obstruction
title_full Syringomyelia Is Associated with a Reduction in Spinal Canal Compliance, Venous Outflow Dilatation and Glymphatic Fluid Obstruction
title_fullStr Syringomyelia Is Associated with a Reduction in Spinal Canal Compliance, Venous Outflow Dilatation and Glymphatic Fluid Obstruction
title_full_unstemmed Syringomyelia Is Associated with a Reduction in Spinal Canal Compliance, Venous Outflow Dilatation and Glymphatic Fluid Obstruction
title_short Syringomyelia Is Associated with a Reduction in Spinal Canal Compliance, Venous Outflow Dilatation and Glymphatic Fluid Obstruction
title_sort syringomyelia is associated with a reduction in spinal canal compliance venous outflow dilatation and glymphatic fluid obstruction
topic syringomyelia
compliance
glymphatic drainage
venous dilatation
impedance pump
url https://www.mdpi.com/2077-0383/12/20/6646
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