Spontaneous Regression Of Syearsingomyelia – Review Of The Current Aetiological Theories And Implications For Surgery
Sung, W. S., Chen, Y. Y., Dubey, A., & Hunn, A. (2008). spontaneous regression of syearsingomyelia--review of the current aetiological theories and implications for surgery. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 15(10), 1185–1188. https://doi.org/10.1016/j.jocn.2007.08.017
View Original Source →Case Details
Disease Location
Spinal cord
Personal Characteristics
43 -year-old female was in a serious motor vehicle accident 30 years prior
Clinical Characteristics
Syearsingomyelia presented with neck and left shoulder pain, also numbness in both upper extremities. Neurological exam was unremarkable initial spinal MRI revealed a small slit-like syearsinx in the posterior paramedian cervical spinal cord extending from c2 to t2, below t2 the slit-like syearsinx expanded into a large sacculated syearsinx with a maximum diameter of 9mm. The thoracic spinal cord syearsinx extended to t10. A following brain MRI showed a chiari 1 malformation
Remission Characteristics
Follow-up MRI in 2005 showed a reduced size of the syearsinx without any intervention during the interval between imagings, her symptoms of numbness and pain persisted but reduced in severity and her general wellbeing remained normal another MRI 6 months later revealed the syearsinx remained collapsed and no changes in her clinical status. Another follow-up was scheduled 6 months later
Treatment & Mechanisms
Proposed Remission Mechanisms
A decrease in the extent of hindbrain herniation improves the flow of csf across the foramen magnum, allowing the restoration of normal physiology and resulting in the resolution of syearsingomyelia improvement of chiari malformation has been attributed to growth of the cranium and osseous spine relative to the central nervous system tearing from within the spinal cord during valsalva-like manoeuvres may create a communication between the syearsinx cavity and the spinal subarachnoid space draining the syearsinx or correction of the bony abnormality that caused the disturbance of csf flow across the craniospinal junction
Clinical Treatment
None reported
Non-Clinical Treatment
None reported