Shannon N, Symon L, Logue V, Cull D, Kang J, Kendall B
J Neurol Neurosurg Psychiatry. 1981 Jan;44(1):35-42. doi: 10.1136/jnnp.44.1.35.
Thirteen patients who sustained spinal cord trauma causing persisting disability, developed new symptoms, the chief one of which was severe pain unrelieved by analgesics. The clinical diagnosis of post traumatic syringomyelia was confirmed in each case by means of myelography, as well as endomyelography in seven patients. In every case exploration of the spinal cord syrinx was performed. Ten patients were troubled by severe pain while three patients were mainly subject to altered sensation in the upper limbs. Of the six patients who had initially sustained complete cord transections, three were treated by cord transection and three were treated by syringostomy. The seven patients who sustained incomplete cord lesions were all treated by syringostomy. The patients who initially sustained incomplete sensory motor spinal cord damage had a better symptomatic response to surgery than hose who had sustained a complete spinal cord lesion. The ten patients whose main symptom was severe pain were completely relieved of their symptoms by surgery.
13名因脊髓损伤导致持续残疾的患者出现了新症状，其中最主要的症状是剧烈疼痛，止痛药无法缓解。通过脊髓造影以及7名患者的脊髓造影术，确诊了每例创伤后脊髓空洞症的临床诊断。对每例脊髓空洞症均进行了探查。10名患者受剧烈疼痛困扰，3名患者主要表现为上肢感觉改变。最初脊髓完全横断的6名患者中，3名接受了脊髓横断术，3名接受了脊髓空洞造瘘术。7名脊髓损伤不完全的患者均接受了脊髓空洞造瘘术。最初脊髓感觉运动损伤不完全的患者比脊髓损伤完全的患者对手术的症状反应更好。主要症状为剧烈疼痛的10名患者术后症状完全缓解。
