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- W2612366027 abstract "We report a rare case of syringomyelia caused by adhesive arachnoiditis around the foramen magnum complicated by syringocephalia. The case involved a 15-year-old boy who underwent craniotomy for traumatic subarachnoid hemorrhage and subdural hematoma in the posterior fossa followed by ventriculo-peritoneal shunt for hydrocephalus when he was 7 years old. One year later, discontinuity of the shunt tube was recognized without any symptoms of raised intracranial pressure, and the shunt system was removed. During follow-up at 12 years old, the patient was found to have numbness beginning in the back of the neck and upper extremities at 12 years old. Craniocervical magnetic resonance imaging (MRI) demonstrated the presence of expansive syringomyelia and indirect signs of arachnoiditis such as tethering of the tonsil or cervico-medullary junction around the foramen magnum. Since blockage of cerebrospinal fluid flow by adhesive arachnoiditis has been considered responsible for the formation of the syringomyelia, microsurgical dissection of the arachnoid scarring around the cisterna magna was performed with duralplasty. However, shrinkage of the ventricles was insufficient after surgery, and replacement of the ventriculo-peritoneal shunt was additionally performed. Although a partial collapse of the ventricles was achieved, development of syrinx extension into the basal ganglia through the brainstem was confirmed on follow-up MRI at 15 years old, indicating syringocephalia. Further placement of a syringe-peritoneal shunt was then performed for decompression of the cervical syrinx. We review herein the literature regarding the developmental mechanisms of syringocephalia and the management of syringomyelia caused by adhesive arachnoiditis." @default.
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- W2612366027 date "2010-01-01" @default.
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- W2612366027 title "A Case of Syringomyelia caused by Adhesive Arachnoiditis complicated by Syringocephalia that was Difficult to Manage" @default.
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- W2612366027 doi "https://doi.org/10.2531/spinalsurg.24.46" @default.
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