Pathology, Classification, and Treatment of Syringomyelia

  • Thomas H. Milhorat
  • Andrew Fox
  • D. Roxanne Todor
Conference paper

Summary

Syringomyelia poses unique challenges for the clinician because of its complex symptomatology, varied pathology, and multiple options for treatment. The purpose of this chapter is to review current knowledge concerning the pathology and pathophysiology of syringomyelia as a foundation for diagnosis and treatment. Conclusions are based on pathological findings in 175 patients coming to autopsy in the years 1955–1993, clinical and magnetic resonance imaging (MRI) findings in a database of 1245 patients (1993–2000), and operative findings in 387 patients undergoing surgical treatment between the years 1994 and 2000. The use of a pathology-based classification of syringomyelia provides a scientific basis for diagnosis and treatment.

Keywords

Syringomyelia Chiari malformation Posttraumatic syringomyelia Hydrocephalus Basilar invagination 
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Copyright information

© Springer-Verlag Tokyo 2001

Authors and Affiliations

  • Thomas H. Milhorat
    • 1
    • 2
  • Andrew Fox
    • 1
    • 2
  • D. Roxanne Todor
    • 1
    • 2
  1. 1.Department of NeurosurgeryState University of New York Health Science CenterBrooklynUSA
  2. 2.Kings County Hospital Center, and The Long Island College HospitalBrooklynUSA

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