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.
References
- Barnett HJ, Jousse AT, Morley TP, Lougheed WM. Post-traumatic syringo- myelia. Paraplegia 1971; 9: 33-7. [CrossRef]
- Rossier AB, Foo D, Shillito J, Naheedy MH, Sweet WH, Dyro F, et al. Progressive late post-traumatic syringomyelia. Paraplegia 1981; 19: 96-7. [CrossRef]
- Shannon N, Symon L, Logue V, Cull D, Kang J, Kendall B. Clinical features, investigation and treatment of post-traumatic syringomyelia. J Neurol Neurosurg Psychiatry 1981; 44: 35-42. [CrossRef]
- Rossier AB, Foo D, Shillito J, Dyro FM. Posttraumatic cervical syringomy- elia. Incidence, clinical presentation, electrophysiological studies, syrinx protein and results of conservative and operative treatment. Brain 1985; 108: 439-61. [CrossRef]
- Squier MV, Lehr RP. Post-traumatic syringomyelia. J Neurol Neurosurg Psychiatry 1994; 57: 1095-8. [CrossRef]
- Vernon JD, Silver JR, Ohry A. Post-traumatic syringomyelia. Paraplegia 1982; 20: 339-64. [CrossRef]
- el Masry WS, Biyani A. Incidence, management, and outcome of post- traumatic syringomyelia. In memory of Mr Bernard Williams. J Neurol Neurosurg Psychiatry 1996; 60: 141-6. [CrossRef]
- Bleasel A, Clouston P, Dorsch N. Post-traumatic syringomyelia following uncomplicated spinal fracture. J Neurol Neurosurg Psychiatry 1991; 54: 551-3. [CrossRef]
- Aghakhani N, Baussart B, David P, Lacroix C, Benoudiba F, Tadie M, et al. Surgical treatment of posttraumatic syringomyelia. Neurosurgery 2010; 66: 1120-7. [CrossRef] 140
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
References
- Barnett HJ, Jousse AT, Morley TP, Lougheed WM. Post-traumatic syringo- myelia. Paraplegia 1971; 9: 33-7. [CrossRef]
- Rossier AB, Foo D, Shillito J, Naheedy MH, Sweet WH, Dyro F, et al. Progressive late post-traumatic syringomyelia. Paraplegia 1981; 19: 96-7. [CrossRef]
- Shannon N, Symon L, Logue V, Cull D, Kang J, Kendall B. Clinical features, investigation and treatment of post-traumatic syringomyelia. J Neurol Neurosurg Psychiatry 1981; 44: 35-42. [CrossRef]
- Rossier AB, Foo D, Shillito J, Dyro FM. Posttraumatic cervical syringomy- elia. Incidence, clinical presentation, electrophysiological studies, syrinx protein and results of conservative and operative treatment. Brain 1985; 108: 439-61. [CrossRef]
- Squier MV, Lehr RP. Post-traumatic syringomyelia. J Neurol Neurosurg Psychiatry 1994; 57: 1095-8. [CrossRef]
- Vernon JD, Silver JR, Ohry A. Post-traumatic syringomyelia. Paraplegia 1982; 20: 339-64. [CrossRef]
- el Masry WS, Biyani A. Incidence, management, and outcome of post- traumatic syringomyelia. In memory of Mr Bernard Williams. J Neurol Neurosurg Psychiatry 1996; 60: 141-6. [CrossRef]
- Bleasel A, Clouston P, Dorsch N. Post-traumatic syringomyelia following uncomplicated spinal fracture. J Neurol Neurosurg Psychiatry 1991; 54: 551-3. [CrossRef]
- Aghakhani N, Baussart B, David P, Lacroix C, Benoudiba F, Tadie M, et al. Surgical treatment of posttraumatic syringomyelia. Neurosurgery 2010; 66: 1120-7. [CrossRef] 140
Details
| Other ID | JA66TA62VA |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | October 1, 2013 |
| Submission Date | October 1, 2013 |
| Published in Issue | Year 2013 Volume: 4 Issue: 4 |