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[Posttraumatic syringomyelia].

M Freund1, A Aschoff, B Spahn

  • 1Abteilung Neuroradiologie, Universitätsklinikum Heidelberg. Michael_Freund@med.uni-heidelberg.de

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|February 11, 2000
PubMed
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Improved survival from spinal cord injuries leads to more cases of post-traumatic syringomyelia (PTS). Early diagnosis and understanding of PTS mechanisms are crucial for effective treatment planning.

Area of Science:

  • Neurology
  • Neurosurgery
  • Radiology

Background:

  • Advances in emergency medicine and critical care have increased survival rates for severe spinal cord injuries.
  • Consequently, long-term complications like post-traumatic syringomyelia (PTS) are becoming more prevalent.
  • PTS, characterized by spinal cord cavitation, has a variable onset, typically diagnosed months to years after initial trauma.

Purpose of the Study:

  • To review the current understanding of post-traumatic syringomyelia (PTS) following spinal cord injuries.
  • To highlight the increasing incidence of PTS with advancements in diagnostic imaging.
  • To discuss potential mechanisms and clinical manifestations of PTS.

Main Methods:

  • Review of existing literature on post-traumatic syringomyelia.

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  • Analysis of diagnostic trends, particularly the role of Magnetic Resonance Imaging (MRI).
  • Discussion of proposed etiological factors and clinical presentation.

    • Main Results:

    • The incidence of PTS diagnosis has significantly increased with the widespread use of MRI, reaching up to 50% in specific patient groups.
    • Multiple factors, including hemorrhage, ischemia, cerebrospinal fluid pathway blockage, and meningeal fibrosis, are implicated in PTS development.
    • Clinical symptoms include sensory disturbances, motor deficits, pain, and altered reflexes.

    Conclusions:

    • Post-traumatic syringomyelia is an increasingly recognized complication of spinal cord injury.
    • Accurate identification of the extent of PTS on MRI is essential for treatment planning.
    • Further research into the multifactorial mechanisms of PTS is warranted.