Summary
A computer-assisted measurement of synrinxes was performed on MR images in a series of 26 patients with syringomyelia-Chiari complex. Syrinx data such as length, surface area, contour, and greater diameter were statistically correlated to each other and with the main clinical symptomatology of the patients. In general, a direct relationship between the various measurements of the syrinxes exists. Nevertheless, although a slight relationship could be established between the presence of muscular atrophy and a greater length and contour of the syrinxes, the present study suggests that the evaluation of syrinx dimensions cannot be brought into relation with the nature or distribution of clinical symptomatology. Because a reduction in the syrinx is generally the aim of surgery, this conclusion should be born in mind when a surgical treatment is offered to syringomyelic patients.
Similar content being viewed by others
References
Aboulker J (1979) La syringomyélie et les liquides intrarachidiens. Neurochirurgie 25 [Suppl]: 1–44
Batzdorf U (1988) Chiari I malformation with syringomyelia. Evaluation of surgical therapy by magnetic resonance imaging. J Neurosurg 68: 726–730
Bowman K, Livanainen M (1967) Prognosis of syringomyelia. Acta Neurol Scand 43: 61–68
De La Paz RL, Brady TJ, Buonanno FS (1983) Nuclear magnetic resonance (NMR) imaging of Arnold-Chiari Type I malformation with hydromyelia. J Comput Assist Tomogr 7: 126–129
Faulhauer K, Loew K (1978) The surgical treatment of syringomyelia. Long term results. Acta Neurochir (Wien) 44:215–222
Gardner WJ, Bell HS, Poolos PN, Dohn DF, Steinberg M (1977) Terminal ventriculostomy for syringomyelia. J Neurosurg 46: 609–617
Gardner WJ (1965) Hydrodynamic mechanism of syringomyelia: its relationship to myelocele. J Neurol Neurosurg Psychiatry 28: 247–259
González AFJ, Castro BJM, Crespo DA, Santiago R, Vaquero J, Ortiz BJ (1988) Valoración de las imágenes por resonancia magnética en 67 casos de siringomielia. Rev Clin Esp 183: 124–128
Grant R, Hadley DM, Macpherson P, Condon B, Patterson J, Bone I, Teasdale GN (1987) Syringomyelia: cyst measurement by magnetic resonance imaging and comparison with symptoms, signs and disability. J Neurol Neurosurg Psychiatry 50: 1008–1014
Hertel G, Kramer S, Placzek E (1973) Die Syringomyelie. Klinische Verlaufsbeobachtungen bei 323 Patienten. Nervenarzt 44: 1–13
Kan S, Fox AJ, Vinuela F (1985) Delayed metrizamide CT enhancement of syringomyelia. Postoperative observations. AJNR 6: 613–616
Kokmen E, Marsh WR, Baker HL (1985) Magnetic resonance imaging in syringomyelia. Neurosurgery 17: 267–270
Krayenbühl H (1974) Evaluation of the different surgical approaches in the treatment of syringomyelia. Clin Neurol Neurosurg 2: 110–128
Logue V, Edwards MR (1981) Syringomyelia and its surgical treatment. An analysis of 75 patients. J Neurol Neurosurg Psychiatry 44: 273–284
Love JG, Olafson RA (1966) Syringomyelia: A look at surgical therapy. J Neurosurg 24: 714–718
Schliep G (1978) Syringomyelia and syringobulbia. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology, vol 32. Elsevier, North Holland Biochemical Press, Amsterdam, pp 255–327
Vaquero J, Martinez R, Arias A (1990) Syringomyelia-Chiari complex: Magnetic resonance imaging and clinical evaluation of surgical treatment. J Neurosurg 73: 64–68
Vaquero J, Martinez R, Salazar J, Santos H (1987) Syringosubarachnoid shunt for the treatment of syringomyelia. Acta Neurochir (Wien) 84: 105–109
William B (1978) A critical appraisal of posterior fossa surgery for communicating syringomyelia. Brain 101: 223–250
William B (1970) Current concepts of syringomyelia. Br J Hosp Med 4: 331–342
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Arias, A., Millán, I. & Vaquero, J. Clinico-morphological correlation in syringomyelia: a statistical study assisted by computer measurement of magnetic resonance images. Acta neurochir 111, 33–39 (1991). https://doi.org/10.1007/BF01402510
Issue Date:
DOI: https://doi.org/10.1007/BF01402510