Anterior Spinal Cord Fissuring: A Predictor of Spontaneous Resolution of Syrinx?
Syringomyelia is a disorder of the spinal cord usually seen in association with a variety of craniovertebral junction anomalies (e.g. , Chiari malformations, basilar invagination/impression, atlantoaxial instability, etc.). Its natural history is not very clearly understood and a majority of patient...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Spinal Neurosurgery Society
2021-03-01
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| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-2040308-154.pdf |
| _version_ | 1797335157481406464 |
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| author | Kartik Manoj Multani Boyina Jagadeshwar Rajesh Krishna Kumar Anjani Kumar |
| author_facet | Kartik Manoj Multani Boyina Jagadeshwar Rajesh Krishna Kumar Anjani Kumar |
| author_sort | Kartik Manoj Multani |
| collection | DOAJ |
| description | Syringomyelia is a disorder of the spinal cord usually seen in association with a variety of craniovertebral junction anomalies (e.g. , Chiari malformations, basilar invagination/impression, atlantoaxial instability, etc.). Its natural history is not very clearly understood and a majority of patients present with a slowly progressive neurological deficit followed by sudden rapid deterioration. At present, there is a general consensus to offer surgical decompression in all patients diagnosed with Chiari I malformation with syrinx irrespective of their symptoms in order to prevent delayed neurological worsening. Few authors have reported spontaneous resolution of syrinx with persistent tonsillar herniation without operative treatment. We report one such patient and propose anterior spinal cord fissuring as a plausible cause of spontaneous syrinx drainage. We also propose conservative management for patients with an anterior spinal cord fissure seen in index scans instead of early decompression of Chiari malformation. |
| first_indexed | 2024-03-08T08:32:51Z |
| format | Article |
| id | doaj.art-e76bb4b879ec413b8be12225061d714f |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T08:32:51Z |
| publishDate | 2021-03-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-e76bb4b879ec413b8be12225061d714f2024-02-02T02:34:34ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912021-03-0118124024410.14245/ns.2040308.1541076Anterior Spinal Cord Fissuring: A Predictor of Spontaneous Resolution of Syrinx?Kartik Manoj Multani0Boyina Jagadeshwar Rajesh1Krishna Kumar2Anjani Kumar3 Department of Neurosurgery, Yashoda Hospital, Hyderabad, India Department of Neurosurgery, Yashoda Hospital, Hyderabad, India Department of Neurosurgery, Yashoda Hospital, Hyderabad, India Department of Radiodiagnosis, Yashoda Hospital, Hyderabad, IndiaSyringomyelia is a disorder of the spinal cord usually seen in association with a variety of craniovertebral junction anomalies (e.g. , Chiari malformations, basilar invagination/impression, atlantoaxial instability, etc.). Its natural history is not very clearly understood and a majority of patients present with a slowly progressive neurological deficit followed by sudden rapid deterioration. At present, there is a general consensus to offer surgical decompression in all patients diagnosed with Chiari I malformation with syrinx irrespective of their symptoms in order to prevent delayed neurological worsening. Few authors have reported spontaneous resolution of syrinx with persistent tonsillar herniation without operative treatment. We report one such patient and propose anterior spinal cord fissuring as a plausible cause of spontaneous syrinx drainage. We also propose conservative management for patients with an anterior spinal cord fissure seen in index scans instead of early decompression of Chiari malformation.http://www.e-neurospine.org/upload/pdf/ns-2040308-154.pdfspontaneous resolution of syrinxsyringomyeliachiari malformationconservative management of chiari with syrinx |
| spellingShingle | Kartik Manoj Multani Boyina Jagadeshwar Rajesh Krishna Kumar Anjani Kumar Anterior Spinal Cord Fissuring: A Predictor of Spontaneous Resolution of Syrinx? Neurospine spontaneous resolution of syrinx syringomyelia chiari malformation conservative management of chiari with syrinx |
| title | Anterior Spinal Cord Fissuring: A Predictor of Spontaneous Resolution of Syrinx? |
| title_full | Anterior Spinal Cord Fissuring: A Predictor of Spontaneous Resolution of Syrinx? |
| title_fullStr | Anterior Spinal Cord Fissuring: A Predictor of Spontaneous Resolution of Syrinx? |
| title_full_unstemmed | Anterior Spinal Cord Fissuring: A Predictor of Spontaneous Resolution of Syrinx? |
| title_short | Anterior Spinal Cord Fissuring: A Predictor of Spontaneous Resolution of Syrinx? |
| title_sort | anterior spinal cord fissuring a predictor of spontaneous resolution of syrinx |
| topic | spontaneous resolution of syrinx syringomyelia chiari malformation conservative management of chiari with syrinx |
| url | http://www.e-neurospine.org/upload/pdf/ns-2040308-154.pdf |
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