Guillen A, Costa J M
Department of Pediatric Neurosurgery, Hospital Sant Joan de Déu, Barcelona, Spain.
Acta Neurochir (Wien). 2004 Feb;146(2):187-91. doi: 10.1007/s00701-003-0177-0. Epub 2004 Jan 8.
A child with complete spontaneous resolution of a Chiari I malformation associated Syringomyelia without surgical intervention is presented. The child was followed clinically by serial magnetic resonance imaging (MRI) and remains neurologically stable after 8-years of follow-up. To our knowledge, only 6 pediatric cases with spontaneous resolution of a spinal cord syrinx documented by MRI without surgical intervention have been reported. This case is of interest in the light of the postulated theories to explain spontaneous resolution of syringomyelia.
本文报告了一例Chiari I型畸形合并脊髓空洞症的患儿,未经手术干预而完全自发缓解。通过连续的磁共振成像(MRI)对该患儿进行临床随访,随访8年后其神经功能仍保持稳定。据我们所知,此前仅报道过6例经MRI证实未经手术干预而脊髓空洞自发缓解的儿科病例。鉴于关于脊髓空洞症自发缓解的假设理论,该病例具有一定研究价值。