Department of Neurosurgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
J Spinal Cord Med. 2020 Sep;43(5):714-718. doi: 10.1080/10790268.2018.1512735. Epub 2018 Aug 29.
: Treatment of primary spinal syringomyelia is still controversial. Among others, shunting syrinx fluid to the subarachnoid, peritoneal or pleural space has been utilized with varying success. Shunt obstruction, migration, and infection represent the most common complications of these procedures. : The authors present the case of an 81-year-old woman who developed an unusual neurological deterioration resembling a subacute posttraumatic ascending myelopathy (SPAM) after the insertion of a syringosubarachnoid shunt for the treatment of slow-growing D10 syringomyelia. : To date, no cases of SPAM secondary to the insertion of a syringosubarachnoid shunt for the treatment of syringomyelia have been reported. The potential pathogenesis related to this phenomenon is discussed.
原发性脊髓空洞症的治疗仍存在争议。其中，将空洞内液体分流至蛛网膜下腔、腹腔或胸腔的方法已被应用，但效果不一。分流管阻塞、移位和感染是这些手术最常见的并发症。
作者报告了一例 81 岁女性的病例，她在因 D10 脊髓空洞症而插入脊髓-蛛网膜下腔分流管后，出现了一种不寻常的神经功能恶化，类似于亚急性创伤后上升性脊髓病（SPAM）。
迄今为止，尚无因治疗脊髓空洞症而插入脊髓-蛛网膜下腔分流管导致 SPAM 的病例报告。文中讨论了与这种现象相关的潜在发病机制。
