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Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression
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Clinical Features of Post-Traumatic Syringomyelia
Hyun Gon Kim1, Han San Oh1, Tae Wan Kim1
1Department of Neurosurgery, VHS Medical Center, Seoul, Korea.
Korean Journal of Neurotrauma
|May 12, 2016
Summary
Post-traumatic syringomyelia (PTS) can cause new motor weakness years after spinal cord injury. Many patients experience poor long-term outcomes despite surgical interventions for PTS.
Area of Science:
- Neurosurgery
- Neurology
- Spinal Cord Injury Research
Background:
- Post-traumatic syringomyelia (PTS) is a serious complication following spinal cord injury (SCI).
- PTS can manifest with delayed neurological deficits, significantly impacting patient prognosis.
- Understanding the clinical course and treatment outcomes of PTS is crucial for managing SCI survivors.
Purpose of the Study:
- To investigate the clinical features, imaging findings, and treatment outcomes of post-traumatic syringomyelia (PTS).
- To evaluate the clinical significance and long-term prognosis associated with PTS after SCI.
Main Methods:
- Retrospective review of medical records for nine patients with symptomatic PTS.
- Analysis of clinical manifestations, radiological data (MRI), and surgical interventions.
- Assessment of patient outcomes following procedures such as shunting and arachnoidolysis.
Main Results:
- New motor weakness was the predominant clinical presentation of PTS.
- The average time from initial injury to symptom onset was 21.9 years.
- Syringes averaged 7.8 spinal levels in length; surgical outcomes were mixed, with only one patient showing improvement and four deteriorating.
Conclusions:
- Post-traumatic syringomyelia (PTS) is a debilitating condition that can arise years after the initial spinal cord injury.
- Patients with PTS often face a poor long-term prognosis, highlighting the need for careful management and further research.
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