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Related Experiment Videos

[Post-traumatic syringomyelia].

B Perrouin-Verbe1, R Robert, M Lefort

  • 1Pôle de Médecine Physique et de Réadaptation, Hôpital Saint-Jacques, CHU, Nantes.

Neuro-Chirurgie
|July 27, 1999
PubMed
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Post-traumatic syringomyelia (PTS) is a common complication after spinal cord injury, often presenting with pain and sensory loss. Early diagnosis via MRI is crucial for effective management, especially in patients with complete thoracic lesions.

Area of Science:

  • Neurology
  • Neurosurgery
  • Radiology

Background:

  • Post-traumatic syringomyelia (PTS) is a significant complication following spinal cord injury (SCI).
  • Clinical presentation of PTS can be varied, including pain and sensory deficits.
  • The incidence and characteristics of PTS require further elucidation.

Purpose of the Study:

  • To characterize the clinical and neuroradiological features of post-traumatic syringomyelia.
  • To identify risk factors and common presentations of PTS in SCI patients.
  • To review the diagnostic utility of Magnetic Resonance Imaging (MRI) for PTS.

Main Methods:

  • Retrospective analysis of clinical and neuroradiological data from 73 spinal cord-injured patients.
  • Inclusion of patients who developed post-traumatic syringomyelia.

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  • Literature review on PTS characteristics and diagnosis.

    • Main Results:

    • Post-traumatic syringomyelia (PTS) was observed in a significant proportion of spinal cord injury (SCI) patients.
    • Common clinical symptoms included pain and sensory loss, but any neurological change post-SCI warrants consideration.
    • Magnetic Resonance Imaging (MRI) confirmed syrinx formation, often extending beyond the initial lesion.
    • Highest incidence of PTS was noted in patients with complete thoracic spinal cord injuries.
    • PTS can develop within the first year post-trauma.

    Conclusions:

    • Post-traumatic syringomyelia (PTS) is not infrequent after spinal cord injury (SCI).
    • Early diagnosis using MRI is essential, even in asymptomatic patients.
    • Understanding the pathophysiology and considering post-traumatic vertebral canal stenosis are critical for surgical management.