Management

The natural history of symptomatic syringomyelia is one of progressive neurological deterioration that may last years. Patients should be monitored and, whenever indicated, operated upon. If cerebrospinal dynamics cannot be restored, shunting procedures such as a syrin-goperitoneal shunt should be performed. Spontaneous resolution is exceptionally rare and is seen only when CSF obstruction has spontaneously resolved.

Bibliography

Asano M, Fujiwara K, Yinenobu K, Hiroshima K: Post-traumatic syringomyelia. Spine 21: 1446-1453, 1996.

Banerji NK, Millar JHD: Chiari malformation presenting in adult life. Brain 97: 157-168, 1974.

Batzdorf U: Primary spinal syringomyelia. J Neurosurg Spine 3: 429-435, 2005.

Carroll AM, Brackenridge P: Post-traumatic syringomyelia: A review of the cases presenting in a regional spinal injuries unit in the north east of England over a 5-year period. Spine 30: 12061210, 2005.

Chang HS, Joko M, Matsuo N, Kim SD, Nakagawa H: Subarachnoid pressure-dependent change in syrinx size in a patient with syringomyelia associated with adhesive arachnoiditis. J Neurosurg Spine 2: 209-214, 2005.

Chang HS, Nakagawa H: Theoretical analysis of the pathophysiology of syringomyelia associated with adhesive arachnoiditis. J Neurol Neurosurg Psychiatry 75: 754-757, 2004.

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