Acute brainstem symptoms associated with cervical syringomyelia.
Syringomyelia classically presents with slowly progressing dissociated sensory and upper and lower motor deficits. Atypical and acute manifestations have rarely been described. We report here on 3 patients with syringomyelia, who had acute and atypical brainstem symptoms with regard to the underlying disease. These symptoms occurred after acute elevation of the intrathoracic and intra-abdominal pressure, respectively, and remitted subsequently. Vertebrobasilar ischemia was initially suspected.
Meves
S H
SH
Department of Neurology, St. Josef Hospital, Ruhr University of Bochum, Germany. Saskia.M.Meves@ruhr-uni-bochum.de
Postert
T
T
Przuntek
H
H
Büttner
T
T
D000208:Acute Disease; D000368:Aged; D001933:Brain Stem / Q000098:blood supply; D020526:Brain Stem Infarctions / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009333:Neck; D012720:Severity of Illness Index; D013595:Syringomyelia / Q000150:complications* / Q000175:diagnosis*