Defining the line between hydromyelia and syringomyelia. A differentiation is possible based on electrophysiological and magnetic resonance imaging studies
| Autor: | Marcos Tatagiba, Florian Roser, Jennifer Müller vom Hagen, Carolin Sixt, Florian H. Ebner |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurology Adolescent Neural Conduction Fluid-attenuated inversion recovery Thoracic Vertebrae Diagnosis Differential Young Adult Evoked Potentials Somatosensory Surveys and Questionnaires Humans Medicine Syrinx (medicine) Child Hydromyelia Pain Measurement Neuroradiology Lumbar Vertebrae medicine.diagnostic_test business.industry Electrodiagnosis Magnetic resonance imaging Middle Aged Evoked Potentials Motor medicine.disease Magnetic Resonance Imaging Electric Stimulation Syringomyelia Surgery Spinal Cord Sensation Disorders Cervical Vertebrae Disease Progression Quality of Life Female Neurology (clinical) Neurosurgery business |
| Zdroj: | Acta Neurochirurgica. 152:213-219 |
| ISSN: | 0942-0940 0001-6268 |
| DOI: | 10.1007/s00701-009-0427-x |
| Popis: | With the frequent use of magnetic resonance imaging (MRI), patients with subtle and diffuse symptoms due to small syrinx cavities increasingly present to neurosurgical care. In this respect, a dilated central canal, hydromyelia, must be separated from patients with true syringomyelia with an underlying disorder, as they do not share clinical and radiological features. We hypothesize that a differentiation of these two entities with distinct diagnostic tools is possible. To describe the entity of hydromyelia, we excluded all patients from the syringomyelia database (n = 142) with any obvious cause of a syringomyelia, any objective neurological deficits on clinical examination, pathological results on electrophysiological monitoring (SSEP, MEP, silent periods) or a widening of the spinal cord cavity of more than 6 mm on MRI [routine acquisitions with FLAIR, T1/T2-weighted images, Cine and CISS (constructive interference in steady-state) studies]. Life quality was assessed through SF-36 questionnaires and an individualized questionnaire for the clinical history, pain and alternative therapies. Forty patients (15 males/25 females) matched the criteria of a hydromyelia. With a mean age of 36.7 years (range 11–62), they almost all presented with pain (79%) or dysaesthesia of the limbs, with some having been an incidental finding (10%). Over a follow-up time of 36.9 months (range 6–93) there was no neurological or radiological deterioration. Patients with a hydromyelia do not share clinical or radiological characteristics with patients harbouring a true syringomyelia. As hydromyelia does not represent a disease with an underlying pathology, no clinical or radiological progression has been seen. With sophisticated diagnostic tools to rule out any pathology this subset of patients can be identified. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink