Hampton F, Williams B, Loizou L A
J Neurol Neurosurg Psychiatry. 1982 Oct;45(10):919-22. doi: 10.1136/jnnp.45.10.919.
Syncope is rare as a presenting symptom of syringomyelia. Three cases are described in which syncope brought the patient to hospital and in each case syringomyelia was subsequently diagnosed and treated. The suggestion is made that impaction of hindbrain hernia or the Chiari malformation may be a causative mechanism of loss of consciousness in such cases; the three examples presented all did well after posterior fossa surgery to decompress the hindbrain hernia.
晕厥作为脊髓空洞症的首发症状较为罕见。本文描述了三例因晕厥入院的患者,随后均被诊断并治疗为脊髓空洞症。有观点认为,后颅窝疝或Chiari畸形的嵌顿可能是此类病例意识丧失的致病机制;所呈现的三个病例在进行后颅窝手术以解除后颅窝疝后均恢复良好。