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Resolution of syringohydromyelia with targeted CT-guided epidural blood patching.

Publication ,  Journal Article
Kranz, PG; Viola, RJ; Gray, L
Published in: J Neurosurg
September 2011

In the scientific literature, syringohydromyelia has only rarely been reported in association with spontaneous intracranial hypotension. Management of the syringohydromyelia in these patients has heretofore involved relatively invasive surgical procedures. The authors report the first case of syringohydromyelia in the setting of intracranial hypotension successfully treated with CT-guided epidural blood patches. This case is important in that it represents a potential minimally invasive treatment strategy. Furthermore, the case also highlights the need to consider spontaneous intracranial hypotension when clinically appropriate as a cause of syrinx in patients with cerebellar tonsillar ectopia, in whom the lesion might otherwise be misclassified as a Chiari I malformation. Finally, the responses to the various attempted treatments offer insight into the pathophysiology of this syringohydromyelia, which may differ from classical models of syrinx formation.

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Published In

J Neurosurg

DOI

EISSN

1933-0693

Publication Date

September 2011

Volume

115

Issue

3

Start / End Page

641 / 644

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Syringomyelia
  • Neurology & Neurosurgery
  • Middle Aged
  • Intracranial Hypotension
  • Humans
  • Female
  • Blood Patch, Epidural
  • 3209 Neurosciences
 

Citation

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Kranz, P. G., Viola, R. J., & Gray, L. (2011). Resolution of syringohydromyelia with targeted CT-guided epidural blood patching. J Neurosurg, 115(3), 641–644. https://doi.org/10.3171/2011.3.JNS102164
Kranz, Peter G., Ronald J. Viola, and Linda Gray. “Resolution of syringohydromyelia with targeted CT-guided epidural blood patching.J Neurosurg 115, no. 3 (September 2011): 641–44. https://doi.org/10.3171/2011.3.JNS102164.
Kranz PG, Viola RJ, Gray L. Resolution of syringohydromyelia with targeted CT-guided epidural blood patching. J Neurosurg. 2011 Sep;115(3):641–4.
Kranz, Peter G., et al. “Resolution of syringohydromyelia with targeted CT-guided epidural blood patching.J Neurosurg, vol. 115, no. 3, Sept. 2011, pp. 641–44. Pubmed, doi:10.3171/2011.3.JNS102164.
Kranz PG, Viola RJ, Gray L. Resolution of syringohydromyelia with targeted CT-guided epidural blood patching. J Neurosurg. 2011 Sep;115(3):641–644.

Published In

J Neurosurg

DOI

EISSN

1933-0693

Publication Date

September 2011

Volume

115

Issue

3

Start / End Page

641 / 644

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Syringomyelia
  • Neurology & Neurosurgery
  • Middle Aged
  • Intracranial Hypotension
  • Humans
  • Female
  • Blood Patch, Epidural
  • 3209 Neurosciences