Paramonov L V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(3):3-6.
The author provides pathogenetic evidence for surgical treatment of syringomyelia. Based on the experience gained with surgical treatment of syringomyelia, gives a critical assessment of the hydrodynamic theory of the formation of intraspinal cavities. Provides the data obtained during examination of 127 patients suffering from genuine syringomyelia with the aid of cystography and NMR tomography. The communicating and non-communicating disease pattern were established. The short- and long-term results of surgical treatment were elucidated in 109 patients operated on. It is assumed that derangement of hydrodynamics plays a definite part in the disease pathogenesis. The hydrodynamic alterations include not only circulatory disorders but also have the signs of general functional insufficiency of the CSF system. The surgical treatment method is aimed at the correction of the hydrodynamic alterations, being one of the constituent parts in the whole complex of treatment measures for syringomyelia.
作者提供了脊髓空洞症手术治疗的发病学依据。基于脊髓空洞症手术治疗的经验，对脊髓内空洞形成的流体动力学理论进行了批判性评估。提供了借助膀胱造影和核磁共振断层扫描对127例真性脊髓空洞症患者进行检查时获得的数据。确定了交通性和非交通性疾病模式。阐述了109例接受手术治疗患者的短期和长期结果。认为流体动力学紊乱在疾病发病机制中起一定作用。流体动力学改变不仅包括循环障碍，还具有脑脊液系统总体功能不全的迹象。手术治疗方法旨在纠正流体动力学改变，是脊髓空洞症整个综合治疗措施的组成部分之一。
