Post-Travmatik Sringomiyeli

Abstract

Post-travmatik sringomiyeli vakalarına manyetik rezonans görüntüleme kullanılmaya başlanmasına kadar tanı konamıyordu. Son yıllarda, tanı konulan post-travmatik sringomyeli vakalarının insidansı artmıştır. Manyetik rezonans görüntüleme sonuçlarına göre post-travmatik sringomiyeli vakalarının insidansı %22’nin üzerine çıkmıştır. Düşmeden hemen sonra acil servise bacaklarda güçsüzlük ve his kaybı şikayeti ile başvuran 21 yaşındaki bir bayan hastayı sunduk. Hastanın acil servise başvuru anında çekilen direk grafi ve tomografileri normaldi. Hastaya acil servisteyken çekilen manyetik rezonans görüntüleme T6 seviyesinden başlayıp T8 seviyesine kadar uzanan sringomiyeli gösterdi. Hasta posttravmatik sringomiyeli tanısı ile nöroloji kliniğine yatırıldı. İntravenöz pulse stereoid ve anti ödem tedavi başlanan hasta, yatışının yedinci gününde oral prednizolon reçete edilerek taburcu edildi. Travmadan hemen sonra post-travmatik sringomiyeli bulguları gelişen ve vertebra fraktürü tespit edilemeyen bir vakayı sunduk. Komplike olmuş, deplase vertebra kırığı olmadan post-travmatik sringomiyeli son derece nadirdir. Acil servise travma sonucu başvuran hastalarda, komplike olmuş vertebra fraktürü olmasa bile post-travmatik sringomiyeli akılda tutulmalıdır.

Keywords

• Post-travmatik sringomiyeli, vertebra kırığı, manyetik rezonans görüntüleme

Post-Traumatic Syringomyelia

Abstract

Cases of post-traumatic syringomyelia could not be diagnosed until the advent of magnetic resonance imaging (MRI). In recent years, the incidence of detected cases of post-traumatic syringomyelia has increased. MRI has suggested an incidence of up to 22%. We describe a 21-year-old female who presented to our emergency services immediately after a fall, with grievance of weakness in the legs, and loss of sensation. Plain radiographs and a CT scan were normal. The MRI performed while she was in the emergency department (ED) showed a syringomyelic cavity extending from T6 to T8. The patient was hospitalised with the diagnosis of traumatic syringomyelia, in the neurology department. Intravenous pulse steroid therapy and anti-oedema therapy were initiated, and the patient was discharged with oral prednisolone on the seventh day of admission. The present article describes the case of a patient with post-traumatic syringomyelia that appeared immediately primarily without vertebral fractures. Patients presenting with post-traumatic syringomyelia after uncomplicated spinal fracture are very rare. In patients admitted to the ED as a result of trauma, post-traumatic syringomyelia should be considered even if there are no vertebral fractures

Keywords

• Post-traumatic syringomyelia, vertebral fracture, magnetic resonance imaging

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