Bhagavathula Venkata Savitr Sastri, Arimappamagan Arivazhagan, Lafazanos Spiros, Pruthi Nupur
Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Karnataka, India.
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
J Neurosci Rural Pract. 2014 Nov;5(Suppl 1):S78-82. doi: 10.4103/0976-3147.145215.
Syringomyelia secondary to cervical spondylosis is a rare entity to encounter in clinical practice. We discuss the case of a 53-year-old lady who presented with a syringomyelic syndrome and was found to have cervical spondylosis on imaging. Cine-MRI revealed an obstruction of cerebrospinal fluid (CSF) flow in the cervical spinal subarachnoid space. Decompression of the same led to clinical and radiological improvement. There is a potential causal association between cervical spondylosis and syringomyelia. MRI CSF flow studies may help in deciding the course of treatment in such cases. A subset of patients with cervical spondylosis and concurrent spinal cord signal intensity changes may show reversal of the same following intervention.
颈椎病继发的脊髓空洞症在临床实践中较为罕见。我们讨论了一位53岁女性的病例,她表现出脊髓空洞症综合征,影像学检查发现患有颈椎病。电影磁共振成像显示颈段脊髓蛛网膜下腔脑脊液(CSF)流动受阻。对此进行减压后,临床和影像学表现均有改善。颈椎病与脊髓空洞症之间可能存在因果关联。MRI脑脊液流动研究可能有助于确定此类病例的治疗方案。一部分患有颈椎病且同时伴有脊髓信号强度改变的患者在干预后可能会出现症状逆转。