Serratrice Nicolas, Faddoul Joe, Tarabay Bilal, Taifour Sarkis, Abi Lahoud Georges Naïm
ICVNS - CMC Bizet, Paris, France.
CIMOP - CMC Bizet, Paris, France.
Front Surg. 2021 Jul 8;8:696457. doi: 10.3389/fsurg.2021.696457. eCollection 2021.
In the event of syringomyelia communicating with the fourth ventricle, a fourth ventricle to cervical subarachnoid space shunting could be proposed. In this review article, we describe the case of a 40-year-old woman who had a previously implanted fourth ventricle to spinal subarachnoid space shunt for the treatment of syringomyelia in the context of Chiari syndrome. The catheter migrated intradurally to the lumbosacral space, but in the absence of neurological repercussions, we decided to leave it in place. To the best of our knowledge, this is the first case described in the literature review of a catheter migration in the subarachnoid space from occipitocervical to lumbosacral level.
如果脊髓空洞症与第四脑室相通，可以考虑进行第四脑室至颈段蛛网膜下腔分流术。在这篇综述文章中，我们描述了一名40岁女性的病例，她之前因 Chiari 综合征合并脊髓空洞症而植入了第四脑室至脊髓蛛网膜下腔分流管。分流管在硬膜内迁移至腰骶部间隙，但由于没有神经功能影响，我们决定将其留在原位。据我们所知，这是文献综述中描述的首例蛛网膜下腔分流管从枕颈部迁移至腰骶部水平的病例。
