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Chemical Sciences
Inorganic Chemistry
Inorganic Chemistry Not Elsewhere Classified
Holocord Syringomyelia Caused By Tethered Cord Syndrome: Case Report And Literature Review.

Home
Research Domains
Chemical Sciences
Inorganic Chemistry
Inorganic Chemistry Not Elsewhere Classified
Holocord Syringomyelia Caused By Tethered Cord Syndrome: Case Report And Literature Review.

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Holocord syringomyelia caused by tethered cord syndrome: case report and literature review.

Longtao Zheng¹, Zhangzheng Liao¹, Hongzhou Duan²

¹Department of Neurosurgery in Peking University First Hospital, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.

|November 11, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Tethered cord syndrome, though rare, can cause extensive syringomyelia (spinal cord syrinx). Surgical untethering led to syrinx resolution and improved symptoms in a patient with this condition.

Keywords:

Cerebrospinal fluid circulation Spinal surgery Syringomyelia Tethered cord syndrome

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Area of Science:

Neurology
Neurosurgery
Spinal Cord Medicine

Background:

Syringomyelia is a rare spinal cord condition with varied causes, usually affecting limited spinal segments.
Extensive syringomyelia from a tethered cord is exceptionally uncommon, with unclear pathophysiology.

Observation:

An 18-year-old male presented with progressive lower extremity weakness and bladder issues over four years.
Spinal MRI revealed a tethered cord and a syrinx extending from C1 to L5.
Other common causes of syringomyelia were excluded.

Findings:

Tethered cord syndrome was identified as the primary cause of the extensive syringomyelia.
The patient underwent successful untethering surgery.
Post-surgery, the patient showed significant symptom improvement and syrinx reduction on follow-up MRIs.

Implications:

Tethered cord syndrome can be the sole cause of widespread syringomyelia.
Untethering surgery offers a potential cure for extensive syringomyelia secondary to tethered cord.
This case highlights the importance of considering tethered cord syndrome in extensive syringomyelia cases.