Department of Paediatric Neurosciences, Royal Hospital for Sick Children, Edinburgh, UK; University of Edinburgh, UK.
Department of Paediatric Neurosciences, Royal Hospital for Sick Children, Edinburgh, UK.
Eur J Paediatr Neurol. 2019 Mar;23(2):333-337. doi: 10.1016/j.ejpn.2019.01.003. Epub 2019 Jan 14.
Neurosurgical treatment is recommended for symptomatic syringomyelia and the post-operative radiological resolution of the syringomyelia is associated with an improvement or at least stability of the patient's pre-operative symptoms.
We reviewed syringomyelia treatment in our centre over the last five years for clinical outcome, surgical complications, post operative MRI and long term symptom resolution.
50 cases of symptomatic syringomyelia underwent foramen magnum decompression and expansile watertight duroplasty. While the outcomes for majority are similar to what published in literature, three of them developed typical syringomyelia symptoms after initial good recovery and radiological resolution of syrinx.
Syringomyelia symptoms may appear or worsen following successful surgical treatment and radiological resolution of syrinx and it is important to counsel young people and their family regarding this.
对于有症状的脊髓空洞症，建议进行神经外科治疗，术后脊髓空洞症的影像学改善与患者术前症状的改善或至少稳定相关。
我们回顾了过去五年中我们中心的脊髓空洞症治疗情况，包括临床结果、手术并发症、术后 MRI 以及长期症状缓解情况。
50 例有症状的脊髓空洞症患者接受了枕骨大孔减压和可扩张的水密性颅骨成形术。虽然大多数患者的结果与文献报道相似，但其中 3 例在初始良好恢复和脊髓空洞症影像学缓解后出现了典型的脊髓空洞症症状。
脊髓空洞症症状可能在手术治疗和脊髓空洞症影像学改善后出现或恶化，因此，向年轻人及其家属提供相关咨询非常重要。
