A Radiological Study of the Central Canal in Myelomeningocele
1967; Wiley; Volume: 9; Issue: s13 Linguagem: Francês
10.1111/j.1469-8749.1967.tb02387.x
ISSN1469-8749
AutoresHugo Andersson, C. Carlsson, Klas Rosengren,
Tópico(s)Fetal and Pediatric Neurological Disorders
ResumoDevelopmental Medicine & Child NeurologyVolume 9, Issue s13 p. 96-102 A Radiological Study of the Central Canal in Myelomeningocele HUGO ANDERSSON, HUGO ANDERSSON Department of Neurosurgery and Department of Radiology II, University of Göteborg, Göteborg, Sweden.Search for more papers by this authorCARL-AXEL CARLSSON, CARL-AXEL CARLSSON Department of Neurosurgery and Department of Radiology II, University of Göteborg, Göteborg, Sweden.Search for more papers by this authorKLAS ROSENGREN, KLAS ROSENGREN Department of Neurosurgery and Department of Radiology II, University of Göteborg, Göteborg, Sweden.Search for more papers by this author HUGO ANDERSSON, HUGO ANDERSSON Department of Neurosurgery and Department of Radiology II, University of Göteborg, Göteborg, Sweden.Search for more papers by this authorCARL-AXEL CARLSSON, CARL-AXEL CARLSSON Department of Neurosurgery and Department of Radiology II, University of Göteborg, Göteborg, Sweden.Search for more papers by this authorKLAS ROSENGREN, KLAS ROSENGREN Department of Neurosurgery and Department of Radiology II, University of Göteborg, Göteborg, Sweden.Search for more papers by this author First published: February 1967 https://doi.org/10.1111/j.1469-8749.1967.tb02387.xCitations: 3AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract SUMMARY The anatomical features and clinical significance of findings in a case of myelomeningocele are discussed. It is shown that the ventricular system has a direct communication via the central canal to the top of the sac and that the fluid in the myelomeningocele sac has no communication with the central canal and the ventricular system. These findings are discussed in view of the current concepts of the pathogenetic relationship between myelomeningocele and hydrocephalus. The discussion leads to the following conclusions: 1 Myelomeningocele is not a blow-out of hydromyelia. 2 Direct communication between the ventricular system and the amniotic fluid might be the factor responsible for the non-perforation of the rhombic roof. 3 Obstruction of the central canal due to various causes may elicit hydrocephalus. This leads to a suggestion as to how to diminish the severity of an accompanying hydrocephalus. RÉSUMÉ Étude radiographique du canal centro-médullaire en cas de myéloméningoceAle Les auteurs discutent des caractéristiques anatomiques et de la signification clinique des observations faites dans un cas de myéloméningocéle. II est montré que le systéme ventriculaire est en communication directe par le canal centro-médullaire avec le sommet du sac et que le liquide dans le sac du myéloméningocéle n'est pas en communication avec lui ni le systéme ventriculaire. Ces observations sont discuteAes à la lumiére des concepts courants sur les relations pathogéniques entre myéloméningocéle et hydrocéphalic. La discussion a abouti aux conclusions suivantes: 1 Le myéloméningocéle n'est pas la conséquence de Fhydromyélie. 2 Une communication directe entre le systéme ventriculaire et le liquide amniotique pourrait être le facteur responsable de la non-perforation du plafond rhombique. 3 l'obstruction du canal centro-médullaire du à des causes variées fait apparaître l'hydrocéphalie. Ceci améne à suggérer un moyen pour diminuer la séverité d'une hydrocéphalic associée. Resumen Un estudio radiológico del canal central en el mielomeningocele Se discuten el cuadro anatómico y la importancia clínica de los hallazgos en un caso de mielomeningocele. Se muestra que el sistema ventricular comunica directamente con la parte superior del saco por vía del canal central, y que el flúido en el saco del mielomeningocele no tiene comunicación con el canal central ni con el sistema ventricular. 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