Department of Neurological Surgery, Tampa General Hospital, University of South Florida, Tampa, FL, USA.
Department of Radiology, Tampa General Hospital, University of South Florida, Tampa, FL, USA.
Neuroradiol J. 2024 Jun;37(3):361-365. doi: 10.1177/19714009231193160. Epub 2023 Aug 4.
Syringomyelia resulting from arachnoiditis due to disseminated coccidioidomycosis meningitis has been previously established in the literature. Worsening syringomyelia after kyphotic cervical deformity correction in a patient with spinal coccidioidomycosis, however, has not yet been reported. Herein we present an extremely rare case of disseminated coccidioidomycosis with cystic cervical lesions and an associated syrinx which, after undergoing cervical kyphotic deformity correction in the setting of iatrogenic loss of cervical lordosis, experienced acute syrinx expansion requiring urgent syringosubarachnoid shunt. To our understanding, this is the first case reported of such an event.
先前的文献中已经证实，脊髓空洞症可由播散性粗球孢子菌病脑膜炎引起的蛛网膜炎导致。然而，在患有脊椎粗球孢子菌病的患者中，颈椎后凸畸形矫正后脊髓空洞症恶化的情况尚未见报道。本文报告了一例极为罕见的播散性粗球孢子菌病病例，其颈椎病变为囊性病变，伴发的脊髓空洞症在医源性颈椎前凸丢失的情况下，接受颈椎后凸畸形矫正治疗后，出现急性脊髓空洞症扩张，需要紧急进行脊髓蛛网膜下腔分流术。据我们所知，这是首例此类事件的报道。
