Syringomyelia with obstructive hydrocephalus at the foramens of Luschka and Magendie successfully treated by endoscopic third ventriculostomy

Surgical Neurology
Tomohiro KawaguchiTeiji Tominaga

Abstract

Syringomyelia rarely accompanies hydrocephalus except for the cases with Chiari malformation, and the efficacy of endoscopic third ventriculostomy for this entity is undetermined. A 55-year-old man developed sensory disturbance and discrete movement disturbance on the bilateral upper limb during the past 3 years. On admission, he presented with slight tetraparesis and hyperreflection on his lower limbs with rectovesical dysfunction. Preoperative MR imaging demonstrated marked enlargement of the lateral ventricles as well as the third and fourth ventricle due to obstruction of the foramens of Luschka and Magendie. Spine MR imaging showed longitudinal dilatation of the central canal from the cerebrospinal junction toward the thoracic level with communication to the fourth ventricle, whereas Chiari malformation and tight cisterna magna were absent. He was successfully treated by ETV. The patient significantly recovered from his symptoms postoperatively, and MR imaging after surgery showed apparent shrinkage of the syrinx as well as the ventricles. The efficacy of the normalization of cerebrospinal fluid circulation and subsequent improvement of the syringomyelia in the present case may suggest that ETV could be a therapeutic choic...Continue Reading

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Citations

May 25, 2013·AJR. American Journal of Roentgenology·Jeanne C LammeringMahesh R Patel
Jan 15, 2013·Journal of Neurosurgery. Pediatrics·Ângelo Raimundo da Silva NetoHougelle Simplício Gomes Pereira
Aug 19, 2010·Current Opinion in Anaesthesiology·Neus Fàbregas, Rosemary Ann Craen
Aug 11, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Suhas Udayakumaran
Jan 30, 2020·British Journal of Neurosurgery·Louis RoseSaurabh Sinha
Aug 2, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Martin WeinzierlMartin Häusler
Nov 18, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jin LiChunde Li

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