Otto H, Ullerich D, Löhr E
J Neurol. 1975;208(4):299-308. doi: 10.1007/BF00312804.
A case of syringomyelia with coexisting hydrocephalus is reported and a pathogenic relationship between both conditions is discussed. Gardner proposed that anomalies at the exit of the fourth ventricle produce a communicating syringomyelia. Hakim and Adams maintain that normal pressure hydrocephalus can aggravate this condition by a hydraulic pressure effect which can be stopped by the insertion of a ventriculoatrial shunt with improvement in the clinical picture. This has been our experience in the case reported.
报告了一例伴有脑积水的脊髓空洞症病例，并讨论了这两种情况之间的致病关系。加德纳提出第四脑室出口处的异常会导致交通性脊髓空洞症。哈基姆和亚当斯认为正常压力脑积水可通过液压效应加重这种情况，而插入脑室心房分流管可阻止这种效应，从而改善临床表现。这就是我们所报告病例的经验。
