Ouaknine G E, Zeidan F, Hausser C, Vezina J L
Rev Chir Orthop Reparatrice Appar Mot. 1985;71(2):119-22.
Late post-traumatic syringomyelia is uncommon, the clinical signs appearing several years after severe trauma to the cervical spinal cord. It is due to progressive cavitation in the spinal cord. In the case reported here progress was atypical because there were no immediate neurological signs and the symptoms of syringomyelia developed only 3 weeks after injury. Several possibilities are open to discussion. Was the trauma responsible for the syringomyelia? Did it cause an aggravation of a pre-existing hydromyelia or were both lesions purely coincidental? A silicon tube draining the cavity in the cord to the subarachnoid space resulted in a real improvement in the neurological condition.
创伤后晚期脊髓空洞症并不常见，临床症状在严重颈髓损伤数年之后才出现。它是由于脊髓内渐进性空洞形成所致。在本文报道的病例中，病情进展不典型，因为伤后没有立即出现神经症状，脊髓空洞症的症状在受伤3周后才出现。有几种可能性可供讨论。是创伤导致了脊髓空洞症吗？是它使先前存在的脊髓积水加重了，还是两种病变纯属巧合？一根将脊髓空洞引流至蛛网膜下腔的硅胶管使神经状况得到了切实改善。
