Syringomyelia Case Study

Introduction:

Syringomyelia arising from the expansion of the central canal located in the center of the medulla spinalis are rarely seen formations. The incidence is higher soon after Arnold Chiari Malformation and past spinal trauma. It may occur after the spinal cord is under the influence of external compression, when there are cord-related tumoral formations and after the cerebral spinal fluid, (CSF) dynamics in the central canal are disturbed. Although different theories have been described in its pathogenesis, a precise definition has yet to be made which can explain the development mechanism of isolated syringomyelia.

Materials and Methods:

In the medical history of 11 out of 91 patients diagnosed with syringomyelia, there was past spinal trauma history, whereas in 11 patients Arnold Chiari Malformation was detected. A total of 69 patients were followed-up with isolated syringomyelia diagnosis; it was seen that internal and external pathological findings

Most frequently, syringomyelia was detected in the cervical region ( xx,x % ). The most common symptoms were pain and dysesthesia complaint in the neck and extremities, sensory lost was the most frequently encountered findings in the neurological examination (xx,x%). Motor findings were detected in xx patients. Xx patients were incidentally diagnosed with syringomyelia. Time of onset of symptoms is x,x years on average, the time from the onset of symptoms to diagnosis was calculated as x,x months/year.

It was noted that the deficits were not bilaterally identical in xx patients, and there was segmental asymmetry in sensory and motor findings. In clinical follow-ups, patients had periods of regression and progression in symptoms. In radiological follow-ups, it was observed that the syrinx cavity did not always tend to grow, there were periods in which it regressed and progressed regarding segments and