Conditions / Diagnoses
Adult Tethered Cord
Ankylosing Spondylitis
Basilar Invagination
Chiari Malformation
Degenerative Disc Disease (Cervical and Lumbar)
Disc Herniation
Facet Joint Syndrome / Facet Blocks
Fibromyalgia
Myelopathy
Osteomyelitis
Osteoporosis / Vertebral Fractures
Osteoarthritis of the Spine
Osteoarthritis of the Peripheral Joint
Platybasia
Radiculopathy (Cervical and Lumbar)
Rheumatoid Arthritis
Scoliosis
Spinal Compression Fractures
Spinal Cord Injury
Spinal Cord Tumors
Stenosis
Syringomyelia
Trochanteric Bursitis
Syringomyelia
Syringomyeliais one of two conditions involving cerebrospinal fluid (CSF) within the spinal cord, common in patients with Chiari I malformation. Whereas simple distention of the ependymal-lined central canal is classically termed hydromyelia, syringomyelia often involves dissection of CSF through the ependyma to form cavitation within the substance of the spinal cord. Since the distinction may not be clear using standard imaging techniques, the term syrinx, or syringohydromyelia, is used to describe any abnormal accumulation of CSF within the spinal cord. Extension upward into the brainstem is termed syringobulbia. Syringomyelia may develop as a delayed complication of spine or spinal cord injuries, and rarely after meningitis.
Symptoms:Syringomyelia presents slowly over the years, with variable symptoms. One is sensory loss in a "cape" distribution (over the tops of the shoulders) and loss of pain and temperature sensation with preserved touch and position sense. Other symptoms include cervical and occipital pain, extremity pain, hand and arm weakness and atrophy, and spasticity.
Diagnosis: MRI is the diagnostic study of choice, since
it will accurately depict the structure of the spinal cord.
Treatment:Options to treat syringomyelia depend on its underlying cause and include posterior fossa decompression, which is the procedure of choice when posterior fossa anomalies are present (Chiari I malformation), and shunting the syrinx. Primary spinal syringomyelia is often treated by laminectomy and expansion of the subarachnoid space.