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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
Abstract:
A 38-year-old man presented with a rare case of syringomyelia associated with Paget disease of the skull. Syringosubarachnoid (SS) shunting was performed. We speculate that deformation of the skull secondary to Paget disease caused narrowing of the foramen magnum with progressive impairment of the cerebrospinal fluid circulation, which led to syringomyelia and neurological symptoms. SS shunting is safe, effective, and technically simple, so may be a useful initial treatment for syringomyelia associated with Paget disease of the skull.
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.
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