Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Subject: Re: Syringomyelia
Forum: The Neurology and Neurosurgery Forum
Topic Area: Neurology - General
Posted by CCF NSG MD /gsh on November 10, 1998 at 18:34:55:
In Reply to: Syringomyelia posted by Robin Olsen on November 02, 1998 at 22:44:30:



I was diagnosed with Syringomyelia due to an Arnold Chiari 1. I had a syrinix C1 to T8. It collapsed during decompression surgery when they tried to put a shunt in. It appears that another syrinx is now opening. QUESTION: Is Syringomyelia progressive? In what way? Is there a definite pattern? Will I have to keep having surgeries to try and close there DAMM things. How much damage do they have to do before the risks of surgery are woth it? Thanks, Robin.
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Dear Robin,

Syringomyelia means that there is a cyst within the spinal cord itself. It may be asymptomatic or can present with numbness in the arms but sparing the trunk and legs. There may also be some weakness in the arms.
Syringomyelia is commonly associated with Chiari malformations though the reason why is less clear. In cases associated with Chiari malformations it is thought that there is an obstruction to the outflow of CSF from the fourth ventricle pushing CSF into the substance of the spinal cord.

When a syrinx becomes symptomatic, decompression may be considered. A syrinx may be decompressed and shunted internally, or it may be shunted externally into the pleura or abdomen.

Speak to your physician as to whether your syrinx is causing you problems and whether it needs to be addressed surgically.

Good luck.

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