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


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.


Ascending cystic myelopathy MRT posttraumatic syringomyelia spinal cord trauma 


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  1. [1]
    Barnett HJM, EH Botterell, AT Jousse, M Wynne-Jones: Progressive Myelopathy as a Sequel to traumatic Paraplegia. Brain 89 (1966) 159–174Google Scholar
  2. [2]
    Barnett HJM, AT Jousse: Posttraumatic syringomyelia (cystic myelopathy) (1976). IN: Vinken PJ., Bruyn W (eds): Handbook of Clinical Neurology Ch 10 Vol 26 North Holland Publishing Company, Amsterdam, American Elsevier Publishing Company, New YorkGoogle Scholar
  3. [3]
    Foerster O: Die traumatischen Läsionen des Rükkenmarkes aufgrund der Kriegserfahrungen. In: Foerster O, O Bumke (eds): Handbuch der Neurologie Erg Bd II 4. Teil Springer, Berlin 1929 1721–1927Google Scholar
  4. [4]
    Klaue R: Beitrag zur pathologischen Anatomie der Verletzungen des Rückenmarkes mit besonderer Berücksichtigung der Rückenmarkskontusion. Ein Vergleich zwischen Rückenmarks- und Hirnverletzungen. Arch Psychiatr Nervenkr 180 (1948) 206–270Google Scholar
  5. [5]
    Rossier AB, A Werner, E Wildi, J Berney: Contribution to the Study of late cervical syringomyelic Syndromes after dorsal or lumbar traumatic Paraplegia. J Neurol Neurosurg Psychiat 31 (1968) 99–105Google Scholar

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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