Chagla Aadil S, Kansal Ritesh, Srikant Balasubramaniam
Seth G.S. Medical College @ K.E.M. Hospital, Department of Neurosurgery, Mumbai, India.
Turk Neurosurg. 2011;21(3):443-5. doi: 10.5137/1019-5149.JTN.3019-10.1.
Syringomyelia is condition in which a cyst or cavity forms inside the spinal cavity. Its management always remains a difficult. A variety of surgical techniques have been used in management of syringomyelia. Syringosubarachnoid shunt remains an effective method in management of syringomyelia. Shunt tube obstruction remains an important complication of shunt procedure. We describe a novel technique of use of polytetrafluoroethylene sponge shunt for syringosubarachnoid shunt in patient with large syrinx and Chiari 1 malformation. Polytetrafluoroethylene sponge is a non irritant material with multiple porosities that is less susceptible to blockages or kinking. It could provide a good alternative technique in syringosubarachnoid shunting.
脊髓空洞症是一种在脊髓腔内形成囊肿或空洞的病症。其治疗一直颇具难度。多种外科技术已被用于脊髓空洞症的治疗。脊髓蛛网膜下腔分流术仍是治疗脊髓空洞症的一种有效方法。分流管阻塞仍然是分流手术的一个重要并发症。我们描述了一种在患有大型脊髓空洞和Chiari 1畸形的患者中使用聚四氟乙烯海绵分流进行脊髓蛛网膜下腔分流的新技术。聚四氟乙烯海绵是一种无刺激性的材料,有多个孔隙,不易堵塞或扭结。它可为脊髓蛛网膜下腔分流提供一种很好的替代技术。