title: Scoliosis associated with syringomyelia presenting in children.
abstract: The clinical presentations and radiological features of scoliosis accompanying syringomyelia were analyzed in 14 cases of syringomyelia associated with a in 14 cases of syringomyelia associated with a Chiari malformation in children. Scoliosis was the initial symptom in 11 out of 16 patients (64%) with syringomyelia and present in 14 (88%) at the initial examination. The scoliosis associated with syringomyelia was characterized by a higher incidence of a single curve (6 cases, 43%) and convexity to the left (7 cases, 50%) than seen in idiopathic scoliosis. The syrinx was shifted to the convex side of scoliosis on the axial section at the middle or lower thoracic level in patients with a single curve, and at the cervical or upper thoracic level in patients with a double curve. The authors think that the scoliosis develops in children as a result of damage done to the anterior horn, which innervates the muscles of the trunk, by an asymmetrically expanded syrinx.
authors.affiliation: Department of Neurosurgery, University of Hokkaido School of Medicine, Sapporo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Isu
authors.forename: Y
authors.initials: Y
authors.lastname: Chono
authors.forename: Y
authors.initials: Y
authors.lastname: Iwasaki
authors.forename: I
authors.initials: I
authors.lastname: Koyanagi
authors.forename: M
authors.initials: M
authors.lastname: Akino
authors.forename: H
authors.initials: H
authors.lastname: Abe
authors.forename: K
authors.initials: K
authors.lastname: Abumi
authors.forename: K
authors.initials: K
authors.lastname: Kaneda
mesh_terms: D001139:Arnold-Chiari Malformation / Q000175:diagnosis / Q000601:surgery; D002557:Cerebrospinal Fluid Shunts; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis; D012600:Scoliosis / Q000175:diagnosis* / Q000601:surgery; D013595:Syringomyelia / Q000175:diagnosis* / Q000601:surgery