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Neurosurgical Review

, Volume 13, Issue 1, pp 41–44 | Cite as

Cystic degeneration following severe spinal trauma. Clinical observations in 30 patients

  • Andreas Löhlein
  • Volkmar Paeslack
  • Alfred Aschoff
Original Articles
  • 22 Downloads

Abstract

Secondary, in most cases ascending neurological deterioration following severe spinal trauma has been known since the beginning of this century. The alterations are caused by cystic cord degeneration and probably are due to venous circulatory disturbances. In a review of the literature 680 cases were found. The present paper describes findings in our 30 patients. Modern diagnostic methods provide exact localization and evaluation of the cysts. These can then be drained microsurgically. Short-term success is good in many cases, long-term developments will be observed carefully. The functional loss of only one segment can, depending on the level of the original lesion, result in dramatic consequences for the patient.

Keywords

Ascending cystic myelopathy MRT posttraumatic syringomyelia spinal cord trauma 

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References

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Copyright information

© Walter de Gruyter & Co. 1990

Authors and Affiliations

  • Andreas Löhlein
    • 1
    • 3
  • Volkmar Paeslack
    • 1
  • Alfred Aschoff
    • 2
  1. 1.Department of Orthopedic Surgery, Spinal Cord UnitUniversity of HeidelbergHeidelbergWest Germany
  2. 2.Department of NeurosurgeryUniversity of HeidelbergHeidelbergWest Germany
  3. 3.Stiftung Orthopädische Universitäts-KlinikHeidelbergWest Germany

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