Benign syringomyelia with the abortive type of the course
https://doi.org/10.14412/2074-2711-2018-3-91-96
Abstract
Syringomyelia is a chronic disease with progressive cavitation and clinical presentations of spinal cord injury. The paper describes clinical cases of a rare benign variant of syringomyelia with spontaneous cavity collapse. The peculiarity of the described clinical cases is childhood-onset of the disease, lack of progression and/or development of myelopathic symptoms, and signs of syringomyelia cavity collapse according to magnetic resonance imaging findings. The authors designate this childhood-onset variant of the disease as abortive. The tendency towards collapse in the cavity in these patients may be due to a single pathogenetic mechanism, which is of interest for a further investigation.
About the Authors
E. G. MendelevichRussian Federation
Department of Neurology and Rehabilitation
Ch. S. Nurullina
Department of Neurology and Rehabilitation
References
1. Менделевич ЕГ, Давлетшина РИ, Валиева ЛК. Клинические и нейровизуальные варианты течения сирингомиелии, манифестировавшей в различные возрастные периоды. Неврологический вестник. 2012;(4): 45-50. [Mendelevich EG, Davletshina RI, Valieva LK. Clinical and neurovisual variants of the course of syringomyelia manifested in different age periods. Nevrologicheskii vestnik. 2012;(4):45-50. (In Russ.)].
2. Bogdanov EI, Mendelevich EG. Syrinx size and duration of symptoms predict the pace of progressive myelopathy: retrospective analysis of 103 unoperated cases with craniocervical junction malformations and syringomyelia. Clin Neurol Neurosurg. 2002 May;104(2):90-7.
3. Bogdanov EI, Heiss JD, Mendelevich EG. The post-syrinx syndrome: stable central myelopathy and collapsed or absent syrinx. J Neurol. 2006 Jun;253(6):707-13. Epub 2006 Mar 6.
4. Nishizawa S, Yokoyama T, Yokota N, et al. Incidentally identified syringomyelia associated with Chiari I malformations: is early interventional surgery necessary? Neurosurgery. 2001 Sep;49(3):637-40; discussion 640-1.
5. Milhorat TH, Johnson RV, Milhorat RN,
6. et al. Clinicopathological correlations in syringomyelia using axial magnetic resonance imaging. Neurosurgery. 1995 Aug;37(2):206-13.
7. Менделевич ЕГ, Нуруллина ЧС. Спонтанный регресс сирингомиелии – редкий вариант течения заболевания: анализ клиниконейровизуальных описаний. Неврологический вестник. 2018;(1):54-60. [Mendelevich EG, Nurullina ChS. Spontaneous regression of syringomyelia is a rare variant of the disease course: analysis of clinical and neuroimaging descriptions. Nevrologicheskii vestnik. 2018;(1): 54-60. (In Russ.)].
8. Alfieri A, Pinna G. Long-term results after posterior fossa decompression in syringomyelia with adult Chiari type I malformation. J Neurosurg Spine. 2012 Nov;17(5):381-7. doi: 10.3171/2012.7.SPINE12272. Epub 2012 Aug 31.
9. Sudo K, Doi S, Maruo Y, et al. Syringomyelia with spontaneous resolution. J Neurol Neurosurg Psychiatry. 1990 May;53(5):437-8.
10. Tokunaga M, Minami S, Isobe K, et al. Natural history of scoliosis in children with syringomyelia. J Bone Joint Surg Br. 2001 Apr; 83(3):371-6.
11. Mallinger B, Marson F, Sevely A, et al. Spontaneous resolution of syringomyelia in a child with Chiari I malformation: a case report. J Radiol. 2004 Nov;85(11):1943-6.
12. Mazumder AK, Das S, Krishnan P. Spontaneous resolution of Chiari malformation and associated syringomyelia. Neurol India. 2016 Nov-Dec;64(6):1335-1336. doi: 10.4103/ 0028-3886.193819.
13. Ramnarayan R, Ganesh CVS, Kumar R. Spontaneous Resolution of Chiari 1-Associated Syringomyelia: A Report of Two Cases. Pediatr Neurosurg. 2018;53(4):238-242. doi: 10.1159/ 000488461. Epub 2018 May 7.
14. Jack CR, Kokmen E, Onofrio B. Resonance imaging findings. J Neurosurg. 1991 Feb; 74(2):283-6.
15. Klekamp J, Iaconetta G, Samii M. Spontaneous resolution of Chiari I malformation and syringomyelia: case report and review of the literature. Neurosurgery. 2001 Mar;48(3): 664-7.
16. Castillo M, Wilson JD. Spontaneous resolution of a Chiari I malformation: MR demonstration. AJNR Am J Neuroradiol. 1995 May;16(5): 1158-60.
17. Fukutake T, Hattori T. Reversible hydromyelia in a synchronised swimmer with recurrent girdle pains. J Neurol Neurosurg Psychiatry. 1998 Oct;65(4):606.
18. Oldfield EH, Muraszko K, Shawker TH, et al. Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils: Implications for diagnosis and treatment. J Neurosurg. 1994 Jan;80(1):3-15.
19. Muthukumar N, Christopher J. Spontaneous resolution of Chiari I malformation and associated syringomyelia following parturition. Acta Neurochir (Wien). 2013 May;155(5): 817-8. doi: 10.1007/s00701-013-1620-5. Epub 2013 Jan 26.
20. Khanna AR, Coumans JV. Spontaneous Improvement of Chiari I Malformation and Syringomyelia in a Patient with Cystic Fibrosis: Case Report. Neurosurgery. 2016 Feb;78(2): E305-8. doi: 10.1227/NEU.0000000000000980.
21. Kyoshima K, Bogdanov EI. Spontaneous resolution of syringomyelia: report of two cases and review of the literature. Neurosurgery. 2003 Sep;53(3):762-8; discussion 768-9.
22. Perrini P. Spontaneous resolution of syringomyelia in an adult patient with tight cisterna magna. Neurol Sci. 2012 Dec;33(6): 1463-7. doi: 10.1007/s10072-012-0946-8. Epub 2012 Jan 19.
23. Sung WS, Chen YY, Dubey A, Hunn A. Spontaneous regression of syringomyelia — review of the current aetiological theories and
24. implications for surgery. J Clin Neurosci. 2008 Oct;15(10):1185-8. doi: 10.1016/j.jocn.2007.08.017. Epub 2008 Aug 16.
25. Vaquero JS, Ferreira E, Parajon A. Spontaneous resolution of syrinx: report of two cases in adults with Chiari malformation. Neurol Sci. 2012 Apr;33(2):339-41.
26. doi: 10.1007/s10072-011-0670-9. Epub 2011 Jun 28.
27. Coloma-Valverde G. Spontaneous resolution of the syrinx. A case report and survey of the literature. Rev Neurol. 2003 Jun 16-30; 36(12):1156-8.
28. Rafia S, Pascual-Castroviejo I. Syringohydromyelia: Report of a case, which resolved spontaneously. Rev Neurol. 2001 Apr 1-15;32(7):635-7.
Review
For citations:
Mendelevich E.G., Nurullina C.S. Benign syringomyelia with the abortive type of the course. Neurology, Neuropsychiatry, Psychosomatics. 2018;10(3):91-96. https://doi.org/10.14412/2074-2711-2018-3-91-96