[Communicating syringomyelia and syringobulbia after surgery of a spinal epidural tuberculoma].
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.
Krack
P
P
Neurologische Klinik, Universität Giessen.
Hornig
C
C
Rominger
M
M
Roosen
K
K
Dorndorf
W
W
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*
Kommunizierende Syringomyelie und Syringobulbie nach Operation eines spinalen epiduralen Tuberkuloms.