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Terminal ventriculostomy for syringomyelia

W J Gardner, H S Bell, P N Poolos

    Journal of Neurosurgery
    |May 1, 1977
    PubMed
    Summary
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    Terminal ventriculostomy effectively treats syringomyelia and syringobulbia by opening the central canal. This procedure offers symptom relief for patients with this spinal cord condition.

    Area of Science:

    • Neurosurgery
    • Spinal Cord Anatomy
    • Neurology

    Background:

    • Syringomyelia is a condition characterized by fluid-filled cavities within the spinal cord.
    • Terminal ventriculostomy is a surgical approach targeting the central canal.
    • Understanding the anatomy of the conus medullaris and filum terminale is crucial for spinal cord surgery.

    Observation:

    • The central canal in 12 surgical specimens extended into the filum terminale up to 8 cm, deviating from its normal termination.
    • The conus medullaris tip was observed to be positioned more caudally than typical in most cases.
    • A potential link between fetal spinal cord tethering and the development of adult syringomyelia was noted.

    Findings:

    • Opening the central canal via terminal ventriculostomy is a safe procedure.

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  • This surgical intervention demonstrably improves symptoms associated with syringomyelia and syringobulbia.
  • Anatomical variations, including an extended central canal and caudal displacement of the conus, were consistently observed.

    • Implications:

    • Terminal ventriculostomy presents a viable treatment option for syringomyelia.
    • The findings suggest that fetal spinal cord tethering may predispose individuals to syringomyelia.
    • Further research into the embryological origins of syringomyelia is warranted.