Popis: |
Syringomyelia poses unique challenges for the clinician because of its complex symptomatology, varied pathology, and multiple options for treatment. The purpose of this chapter is to review current knowledge concerning the pathology and pathophysiology of syringomyelia as a foundation for diagnosis and treatment. Conclusions are based on pathological findings in 175 patients coming to autopsy in the years 1955–1993, clinical and magnetic resonance imaging (MRI) findings in a database of 1245 patients (1993–2000), and operative findings in 387 patients undergoing surgical treatment between the years 1994 and 2000. The use of a pathology-based classification of syringomyelia provides a scientific basis for diagnosis and treatment. |