Acta Neurochirurgica

, Volume 156, Issue 11, pp 2127–2138 | Cite as

Syringomyelia: a practical, clinical concept for classification

Review Article - Neurosurgical Anatomy

Abstract

Background

The term syringomyelia describes many pathogenetically different disorders, and a variety of attempts to group these based on different criteria have been proposed in the literature. As a consequence a lack of consensus regarding classification and terminology exists. This inconsistency extends to the ICD-10 classification of diseases in regards to syringomyelia (G95.0) and hydromyelia (Q06.4). We propose a new unifying concept for classification that also incorporates diagnostics and treatment.

Methods

The PubMed online database was used to gain a general overview of the existing pathogenetic theories in relation to syringomyelia. Illustrative cases at our department were included and similar cases of the literature were found using the PubMed database. All material was reviewed with main focus on the classification and terminology used.

Results

Despite syringomyelia (G95.0) and hydromyelia (Q06.4) existing as independent ICD-10 entities, we have shown that the use of classifying terminology for fluid-filled cavities in the spinal cord is indiscriminate and inconsistent. Even though a general agreement on the believed pathogenetic mechanism exists, and the general treatment methods are used in accordance with this mechanism, the terminology fails to function as a simple and universal link between theory and treatment.

Conclusions

We propose a new causal concept for an ICD classification with syringomyelia (G95.0) as the only describing terminology, thus abandoning the use of hydromyelia (Q06.4). Syringomyelia is divided into five subgroups according to the associated pathologies. The classification is based on applied diagnostics and serves as a clinical guidance for treatment.

Keywords

Syringomyelia Hydromyelia Syrinx Classification Treatment Diagnostics 

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Copyright information

© Springer-Verlag Wien 2014

Authors and Affiliations

  1. 1.University Clinic of Neurosurgery 2092Copenhagen University HospitalBlegdamsvej 9Denmark
  2. 2.Department of NeurosurgeryRadboud University Medical CentreNijmegenThe Netherlands

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