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[A successful treatment for a case of idiopathic syringomyelia with syrinx located in the anterior horn].
No Shinkei Geka. 2011 Nov; 39(11):1079-84.NS

Abstract

Idiopathic syringomyelia not associated with Chiari malformation, tumor, nor tetherd cord syndrome has not been frequently reported. So the clinical significance and optimum treatment strategy for this disease remains unclear. We report a 37-year-old man who was diagnosed as having idiopathic syringomyelia and was treated successfully using implantation of a syringo-subarachnoid shunt. The patient suffered gradual worsening of sensory disturbance in the upper extremities, and Magnetic resonance imaging demonstrated a large syrinx located in the cervical spinal cord (C2-3), located mainly at the left anterior horn. We performed syringo-subarachnoid shunt for syringomyelia under partial hemilaminectomy. During the surgery, the spinal cord was markedly rotated and dorsal root entry had shifted to the midline because of the large syrinx. In order to perform myelotomy at the dorsal root entry zone, we needed additional drilling to the medial portion of the lamina. After this procedure, we were able to perform implantation of the syringo-subarachnoid shunt safely. After the operation, the syrinx collapsed immediately and no neurological deficit was observed. The patient was discharged 2 weeks after the operation. Idiopathic syringomyelia in which the syrinx has deviated to the anterior horn is rare. In those cases, we consider that sufficient hemilaminectomy for the midline should be performed.

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Authors+Show Affiliations

Kurisu K
Department of Neurosurgery, Hokkaido University Hospital, Sapporo-city, Hokkaido, Japan.
Hida K
No affiliation info available
Aoyama T
No affiliation info available
Houkin K
No affiliation info available

MeSH

AdultCerebrospinal Fluid ShuntsHumansMagnetic Resonance ImagingMaleSpinal CordSyringomyelia

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

22036820

Citation

Kurisu, Kota, et al. "[A Successful Treatment for a Case of Idiopathic Syringomyelia With Syrinx Located in the Anterior Horn]." No Shinkei Geka. Neurological Surgery, vol. 39, no. 11, 2011, pp. 1079-84.
Kurisu K, Hida K, Aoyama T, et al. [A successful treatment for a case of idiopathic syringomyelia with syrinx located in the anterior horn]. No Shinkei Geka. 2011;39(11):1079-84.
Kurisu, K., Hida, K., Aoyama, T., & Houkin, K. (2011). [A successful treatment for a case of idiopathic syringomyelia with syrinx located in the anterior horn]. No Shinkei Geka. Neurological Surgery, 39(11), 1079-84.
Kurisu K, et al. [A Successful Treatment for a Case of Idiopathic Syringomyelia With Syrinx Located in the Anterior Horn]. No Shinkei Geka. 2011;39(11):1079-84. PubMed PMID: 22036820.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A successful treatment for a case of idiopathic syringomyelia with syrinx located in the anterior horn]. AU - Kurisu,Kota, AU - Hida,Kazutoshi, AU - Aoyama,Takeshi, AU - Houkin,Kiyohiro, PY - 2011/11/1/entrez PY - 2011/11/1/pubmed PY - 2012/1/25/medline SP - 1079 EP - 84 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 39 IS - 11 N2 - Idiopathic syringomyelia not associated with Chiari malformation, tumor, nor tetherd cord syndrome has not been frequently reported. So the clinical significance and optimum treatment strategy for this disease remains unclear. We report a 37-year-old man who was diagnosed as having idiopathic syringomyelia and was treated successfully using implantation of a syringo-subarachnoid shunt. The patient suffered gradual worsening of sensory disturbance in the upper extremities, and Magnetic resonance imaging demonstrated a large syrinx located in the cervical spinal cord (C2-3), located mainly at the left anterior horn. We performed syringo-subarachnoid shunt for syringomyelia under partial hemilaminectomy. During the surgery, the spinal cord was markedly rotated and dorsal root entry had shifted to the midline because of the large syrinx. In order to perform myelotomy at the dorsal root entry zone, we needed additional drilling to the medial portion of the lamina. After this procedure, we were able to perform implantation of the syringo-subarachnoid shunt safely. After the operation, the syrinx collapsed immediately and no neurological deficit was observed. The patient was discharged 2 weeks after the operation. Idiopathic syringomyelia in which the syrinx has deviated to the anterior horn is rare. In those cases, we consider that sufficient hemilaminectomy for the midline should be performed. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/22036820/[A_successful_treatment_for_a_case_of_idiopathic_syringomyelia_with_syrinx_located_in_the_anterior_horn]_ L2 - https://webview.isho.jp/openurl?rft.genre=article&rft.issn=0301-2603&rft.volume=39&rft.issue=11&rft.spage=1079 DB - PRIME DP - Unbound Medicine ER -