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Acta Neurochirurgica

, Volume 161, Issue 2, pp 367–370 | Cite as

Syringo-subarachnoid shunt: how I do it

  • Jehuda SolemanEmail author
  • Jonathan Roth
  • Shlomi Constantini
How I Do it - Pediatric Neurosurgery
  • 34 Downloads
Part of the following topical collections:
  1. Pediatric Neurosurgery

Abstract

Background

Syringo-subarachnoid shunt (SSS) is a valid method for the treatment of syringomyelia persisting after foramen magnum decompression (FMD) for Chiari I malformation.

Method

We give a brief overview on indication and outcome of SSS, followed by a detailed description of the surgical anatomy, and of the microsurgical technique. In particular, we highlight some key points for complication avoidance.

Conclusion

SSS is a valid option to treat syringomyelia, since in experienced hands, the outcome is good in most patients, including those with holocord syringomyelia. Careful understanding of anatomy and spinal cord physiology is required to minimize complications.

Keywords

Syringo-subarachnoid shunt Syringomyelia Chiari I malformation Spinal cord Microsurgery Pediatric neurosurgery Spinal electrophysiological monitoring 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

ESM 1

Video showing the surgical technique of syringo-subarachnoid shunt insertion. (MP4 256145 kb)

References

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    Soleman J, Roth J, Bartoli A, Rosenthal D, Korn A, Constantini S (2017) Syringo-subarachnoid shunt for the treatment of persistent syringomyelia following decompression for Chiari type I malformation: surgical results. World Neurosurg 108:836–843CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Departments of Neurosurgery and Pediatric Neurosurgery, Tel Aviv Medical Center and Dana Children’s Hospital Tel AvivTel Aviv UniversityTel AvivIsrael
  2. 2.Department of Neurosurgery, Division of Pediatric NeurosurgeryUniversity Hospital and Children’s Hospital of BaselBaselSwitzerland

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