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Absent superficial abdominal reflexes in children with scoliosis. An early indicator of syringomyelia.
J Bone Joint Surg Br. 1995 Sep; 77(5):762-7.JB

Abstract

We describe 12 children with idiopathic scoliosis who had a persistent absent superficial abdominal reflex (SAR) on routine neurological examination. MRI showed syringomyelia to be present in ten. The average age at detection of the scoliosis was 4.3 years and at diagnosis of syringomyelia 6.6 years. In all ten children the SAR was consistently absent on the same side as the convexity of the curve. In two it was the only abnormal neurological sign. An absent SAR in patients with scoliosis is an indication for investigation for underlying syringomyelia. In the children with syringomyelia, six had thoracic and four thoracolumbar curves. The clinical features differed in the two groups. Patients with thoracic curves were generally asymptomatic. Their neurological signs were subtle and none had any motor signs. By contrast, patients with thoracolumbar curves had symptoms and neurological signs. Abnormal gait was present in all four patients with thoracolumbar curves. In three this was due to considerable motor weakness. In eight children syringomyelia was associated with a Chiari-I malformation. In seven the syrinx was treated surgically by decompression of the foramen magnum.

Authors+Show Affiliations

Scoliosis Unit, Royal National Orthopaedic Hospital Trust, Stanmore, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7559706

Citation

Zadeh, H G., et al. "Absent Superficial Abdominal Reflexes in Children With Scoliosis. an Early Indicator of Syringomyelia." The Journal of Bone and Joint Surgery. British Volume, vol. 77, no. 5, 1995, pp. 762-7.
Zadeh HG, Sakka SA, Powell MP, et al. Absent superficial abdominal reflexes in children with scoliosis. An early indicator of syringomyelia. J Bone Joint Surg Br. 1995;77(5):762-7.
Zadeh, H. G., Sakka, S. A., Powell, M. P., & Mehta, M. H. (1995). Absent superficial abdominal reflexes in children with scoliosis. An early indicator of syringomyelia. The Journal of Bone and Joint Surgery. British Volume, 77(5), 762-7.
Zadeh HG, et al. Absent Superficial Abdominal Reflexes in Children With Scoliosis. an Early Indicator of Syringomyelia. J Bone Joint Surg Br. 1995;77(5):762-7. PubMed PMID: 7559706.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Absent superficial abdominal reflexes in children with scoliosis. An early indicator of syringomyelia. AU - Zadeh,H G, AU - Sakka,S A, AU - Powell,M P, AU - Mehta,M H, PY - 1995/9/1/pubmed PY - 1995/9/1/medline PY - 1995/9/1/entrez SP - 762 EP - 7 JF - The Journal of bone and joint surgery. British volume JO - J Bone Joint Surg Br VL - 77 IS - 5 N2 - We describe 12 children with idiopathic scoliosis who had a persistent absent superficial abdominal reflex (SAR) on routine neurological examination. MRI showed syringomyelia to be present in ten. The average age at detection of the scoliosis was 4.3 years and at diagnosis of syringomyelia 6.6 years. In all ten children the SAR was consistently absent on the same side as the convexity of the curve. In two it was the only abnormal neurological sign. An absent SAR in patients with scoliosis is an indication for investigation for underlying syringomyelia. In the children with syringomyelia, six had thoracic and four thoracolumbar curves. The clinical features differed in the two groups. Patients with thoracic curves were generally asymptomatic. Their neurological signs were subtle and none had any motor signs. By contrast, patients with thoracolumbar curves had symptoms and neurological signs. Abnormal gait was present in all four patients with thoracolumbar curves. In three this was due to considerable motor weakness. In eight children syringomyelia was associated with a Chiari-I malformation. In seven the syrinx was treated surgically by decompression of the foramen magnum. SN - 0301-620X UR - https://www.unboundmedicine.com/medline/citation/7559706/Absent_superficial_abdominal_reflexes_in_children_with_scoliosis__An_early_indicator_of_syringomyelia_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=7559706.ui DB - PRIME DP - Unbound Medicine ER -