Acute presentations of syringomyelia
1990; American Association of Neurological Surgeons; Volume: 72; Issue: 1 Linguagem: Inglês
10.3171/jns.1990.72.1.0133
ISSN1933-0693
AutoresEric L. Zager, Robert G. Ojemann, Charles E. Poletti,
Tópico(s)Spinal Cord Injury Research
Resumo✓ Three unusual cases are reported in which communicating syringomyelia presented acutely. The first patient presented with paraplegia, the second with acute respiratory distress secondary to bilateral vocal cord paralysis, and the third with symptoms of acute brain-stem ischemia. Each patient had a communicating spinal cord syrinx associated with a posterior fossa and foramen magnum region anomaly (a huge posterior fossa arachnoid cyst in one and Chiari malformations in two). The mechanisms of craniospinal pressure dissociation and hindbrain herniation are discussed, along with other reported emergency presentations of syringomyelia.
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