Syringomyelia: Aspects of Therapeutic Decisions
Many more patients present with syringomyelia than will eventually turn out to be good candidates for surgery. Many different surgical procedures have been advocated but no treatment has become standard [2,3,5-9,11-15]. Preoperative diagnostic procedures, however, have greatly improved with the introduction of magnetic resonance tomography (MRT) and gadolinium [1,10]. Thus the selection of appropriate surgical treatment from the various advocated methods has been facilitated. It has been recognized that patients in whom intramedullary, intracavitary pressure is present will benefit most from draining/shunting procedures. In addition there are patients with progressive disease and intramedullary dissection but without evidence of pressure. Progression of neurological deficits may even occur long after intramedullary pressure has been successfully treated by shunting.
KeywordsMagnetic Resonance Tomography Subarachnoid Space Fourth Ventricle Subdural Effusion Clin Neurol
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