title: [Communicating syringomyelia and syringobulbia after surgery of a spinal epidural tuberculoma].
abstract: In a 46 year old patient a syringomyelia and syringobulbia were diagnosed clinically 18 years after a transverse lesion of the cord and removal of an epidural spinal tuberculoma. Post-myelographic CT and NMR scans showed a communicating syringomyelia and syringobulbia. A flavectomy was performed and a syringopleural shunt implanted. The operation was successful by neuroradiological criteria. Clinically there was a worsening of the spastic gait during one-year follow up. Neuroradiological findings and etiology of the syrinx are discussed, and a causal relationship to the tuberculoma is proposed.
authors.affiliation: Neurologische Klinik, Universität Giessen.
authors.forename: P
authors.initials: P
authors.lastname: Krack
authors.forename: C
authors.initials: C
authors.lastname: Hornig
authors.forename: M
authors.initials: M
authors.lastname: Rominger
authors.forename: K
authors.initials: K
authors.lastname: Roosen
authors.forename: W
authors.initials: W
authors.lastname: Dorndorf
mesh_terms: D001933:Brain Stem / Q000473:pathology / Q000601:surgery; D004824:Epidural Space; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000601:surgery; D013595:Syringomyelia / Q000175:diagnosis* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014375:Tuberculoma / Q000175:diagnosis / Q000601:surgery*; D014399:Tuberculosis, Spinal / Q000175:diagnosis / Q000601:surgery*
vernacular_title: Kommunizierende Syringomyelie und Syringobulbie nach Operation eines spinalen epiduralen Tuberkuloms.