Rapid enlargement of a syringomyelia cavity following syringo-subarachnoid shunt: case report.
We describe a patient who presented with syringomyelia 20 years following an operation for foramen magnum meningioma. A syringo-subarachnoid shunt was placed, which connected the syrinx and the cerebello-pontine angle cistern. Following shunt placement, the patient's symptoms rapidly progressed, and magnetic resonance imaging (MRI) revealed enlargement of the syrinx. The symptoms improved with a decrease in syrinx size after placement of a syringo-peritoneal shunt in combination with revision of the syringo-subarachnoid shunt, changing the position of the subarachnoid tip to the caudal spinal subarachnoid space. The mechanism of rapid enlargement of the syrinx cavity following placement of the syringo-subarachnoid shunt is discussed.
Takayasu
M
M
Department of Neurosurgery, Nagoya University School of Medicine, Japan.
Shibuya
M
M
Kouketsu
N
N
Suzuki
Y
Y
D000368:Aged; D002557:Cerebrospinal Fluid Shunts; D005260:Female; D005539:Foramen Magnum / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008579:Meningioma / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013116:Spinal Cord / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000601:surgery*; D013346:Subarachnoid Space / Q000601:surgery; D013595:Syringomyelia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery