Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Post-Traumatic Syringomyelia Treated with Expansile Duraplasty and Syringosubarachnoid Shunt - Case Report -

경막 성형술과 단락술로 치료한 외상성 척수 공동증 - 증례보고 -

  • Oh, Yuun Kyu (Department of Neurosurgery, Holy Family Hospital, Catholic University Medical College) ;
  • Choi, Young Geun (Department of Neurosurgery, Holy Family Hospital, Catholic University Medical College) ;
  • Lee, Kang Woon (Department of Neurosurgery, Holy Family Hospital, Catholic University Medical College) ;
  • Ko, Won Il (Department of Neurosurgery, Holy Family Hospital, Catholic University Medical College) ;
  • Park, Ik Sung (Department of Neurosurgery, Holy Family Hospital, Catholic University Medical College) ;
  • Baik, Min Woo (Department of Neurosurgery, Holy Family Hospital, Catholic University Medical College) ;
  • Kang, Joon Ki (Department of Neurosurgery, Holy Family Hospital, Catholic University Medical College)
  • 오윤규 (가톨릭대학교 의과대학 성가병원 신경외과학교실) ;
  • 최영근 (가톨릭대학교 의과대학 성가병원 신경외과학교실) ;
  • 이강운 (가톨릭대학교 의과대학 성가병원 신경외과학교실) ;
  • 고원일 (가톨릭대학교 의과대학 성가병원 신경외과학교실) ;
  • 박익성 (가톨릭대학교 의과대학 성가병원 신경외과학교실) ;
  • 백민우 (가톨릭대학교 의과대학 성가병원 신경외과학교실) ;
  • 강준기 (가톨릭대학교 의과대학 성가병원 신경외과학교실)
  • Received : 2000.07.04
  • Accepted : 2000.09.01
  • Published : 2000.10.28
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Abstract

A case report of a post-traumatic syringomyelia in a 29-year old male, developed 15 years after an L1 burst fracture, is presented. On preoperative MRI, the syrinx extended cephalad above the fracture site through the whole thoracic and cervical cord. Serial myelo-CT was performed to evaluate the dynamics of CSF. It was managed by lysis of the arachnoid adhesions, syringosubarachnoid shunt, and expansile duraplasty. After surgery, the patient's symptoms improved, and marked decrease of the syrinx was seen on postoperative MRI. The pathophysiology, the role of preoperative diagnostic methods especially serial myelo-CT, and the contmporary management modalities for posttraumatic syringomyelia is reviewed along with the pertinent literature.

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