Cerebral dissection from syringomyelia demonstrated using cine magnetic resonance imaging. Case report.
A 16-year-old boy presented at the authors' emergency department with a sudden deterioration of respiration. He had been paraparetic for 3 years and had become quadriplegic 2 days previously. Magnetic resonance images revealed a Chiari I malformation and a hydromyelic cavity extending from C-1 to T-11. Rostrally, a small cylindrically shaped lesion extended from the cervicomedullary junction to the left semioval center. The patient made a dramatic neurological recovery following suboccipital craniectomy and upper cervical laminectomies with augmentation duraplasties followed by placement of a syringoperitoneal shunt.
Lee
J H
JH
Department of Neurosurgery, Seoul National University Hospital, Korea.
Chung
C K
CK
Kim
H J
HJ
D000293:Adolescent; D001139:Arnold-Chiari Malformation / Q000175:diagnosis* / Q000601:surgery; D002531:Cerebellum / Q000473:pathology* / Q000601:surgery; D003399:Craniotomy; D006801:Humans; D007796:Laminectomy; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D008526:Medulla Oblongata / Q000473:pathology* / Q000601:surgery; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis; D011782:Quadriplegia / Q000175:diagnosis / Q000601:surgery; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000473:pathology; D013595:Syringomyelia / Q000175:diagnosis* / Q000601:surgery