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Syringomyelia presenting soon after cranial and possible spinal trauma : a case report
G Vajramani1, T Hegde1, B I Devi1
1Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore - 560 029, India.
Abstract:
A 30 year old man, who had a fall from the top of a vehicle, was operated for frontal extradural haematoma. In the post-operative period he was noted to have features of central cord syndrome. MRI of the cervical spine revealed a multiseptate cervicothoracic syringomyelia, suggesting a long standing but asymptomatic syrinx. A syrinx-subarachnoid shunt was placed through a C6 and C7 hemilaminectomy. Patient improved in neurological status postoperatively. The possible mechanism of conversion of an asymptomatic syrinx to symptomatic syrinx following cranial and possible spinal trauma shall be discussed.
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