Syringomyelia associated with Paget disease of the skull

Satoshi Hori1, Masanori Kurimoto, Kimiko Umemura

  • 1Department of Neurosurgery, Faculty of Medicine, University of Toyama, Toyama, Japan. satoshimisuchiru@muc.biglobe.ne.jp

Insights

A rare case of syringomyelia linked to Paget disease of the skull was treated with syringosubarachnoid (SS) shunting. This safe and effective procedure offers a promising initial treatment for similar neurological conditions.

Area of Science:

  • Neurology
  • Neurosurgery
  • Medical Case Reports

Background:

  • Paget disease of the skull can cause cranial deformities.
  • Cranial deformities may lead to foramen magnum stenosis.
  • Foramen magnum stenosis can impede cerebrospinal fluid circulation.

Observation:

  • A 38-year-old male patient presented with syringomyelia.
  • The patient's condition was associated with Paget disease of the skull.
  • Neurological symptoms were present due to impaired cerebrospinal fluid dynamics.

Findings:

  • Syringosubarachnoid (SS) shunting was successfully performed.
  • The surgical intervention addressed the cerebrospinal fluid circulation impairment.
  • Paget disease-induced skull deformation is a potential cause of syringomyelia.

Implications:

  • SS shunting is a safe, effective, and technically simple treatment option.
  • This procedure may serve as a valuable initial therapy for syringomyelia.
  • Understanding the link between Paget disease and syringomyelia can improve patient management.

Related Concept Videos

Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Cranial and Spinal Meninges01:19

Cranial and Spinal Meninges

The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Sutures of the Skull01:22

Sutures of the Skull

The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Parkinson Disease ll: Pathophysiology01:24

Parkinson Disease ll: Pathophysiology

Parkinson disease (PD) is a progressive neurodegenerative disorder primarily affecting movement, with additional non-motor features. Its pathophysiology involves complex interactions among genetic susceptibility, environmental exposures, and cellular dysfunction, including dopaminergic neuron loss, protein aggregation, and mitochondrial impairment.Selective NeurodegenerationA key feature is the degeneration of dopaminergic neurons in the substantia nigra pars compacta, leading to reduced...
Degenerative Disc Disease ll: Pathophysiology01:23

Degenerative Disc Disease ll: Pathophysiology

The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...