Advertisement

Late onset of syringomyelia after traumatic brain injury: Association with chiari 1 malformation

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Syringomyelia should be suspected when progressive weakness or sensory loss develops. It most commonly occurs as a congenital malformation but has also been associated with spinal cord injury and the Chiari malformation. Symptomatic Chiari malformation after head injury is rare and usually presents with signs of acutely increased intracranial pressure. This article describes syringomyelia as a late onset complication of head injury in the presence of an underlying Chiari malformation. A possible causal relationship between head injury, the brain malformation, and an extensive syrinx is postulated.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Brewis M
        • Poskanzer DE
        • Rolland C
        • Rolland C
        • Miller H
        Neurological disease in an English city.
        Acta Neurol Scand. 1966; 42: 1-89
        • Schliep G
        Probleme der Syringmyelie.
        Fortschr Neurol Psychiatr. 1979; 47: 557-608
        • Rossier AB
        • Foo D
        • Shillito J
        • Naheedy MH
        • Sweet WH
        • Dyro F
        • et al.
        Progressive late post-traumatic syringomyelia.
        Paraplegia. 1981; 19: 96-97
        • Dworkin GE
        • Staas WE
        Post traumatic syringomyelia.
        Arch Phys Med Rehabil. 1985; 66: 329-331
        • Williams B
        • Terry AF
        • Jones F
        • McSweeney T
        Syringomyelia as a sequel to traumatic paraplegia.
        Paraplegia. 1981; 19: 67-80
        • Barkovich AJ
        Pediatric neuroimaging.
        Raven Press, New York1990
        • Banerjink NK
        • Millar JHD
        Chiari malformation presenting in adult life: its relationship to syringomyelia.
        Brain. 1974; 97: 157-168
        • Rhoton AL
        Microsurgery of Arnold-Chiari malformation in adults with and without hydromyelia.
        J Neurosurg. 1976; 45: 473-483
        • Saez BJ
        • Omofrio BM
        • Yamagihara T
        Experience with Arnold-Chiari malformation 1960–1970.
        J Neurosurg. 1976; 45: 416-422
        • Eisenstat DD
        • Bernstein M
        • Fleming JR
        • Vanderlinden RG
        • Schutz H
        Chiari malformation in adults: a review of 40 cases.
        Can J Neurol Sci. 1986; 13: 221-228
        • Levy WJ
        • Mason L
        • Hahn JF
        Chiari malformation presenting in adults: a surgical experience in 127 cases.
        Neurosurgery. 1983; 12: 377-390
        • Mampalam TJ
        • Andrews BT
        • Gelb D
        • Ferriero D
        • Pitts LH
        Presentation of Type 1 Chiari malformation after head trauma.
        Neurosurgery. 1988; 23: 760-762
        • Tomazek DE
        • Tyson GW
        • Bouldin T
        • Hansen AR
        Sudden death in a child with an occult hindbrain malformation.
        Ann Emerg Med. 1984; 13: 101-103
        • Vleck BW
        • Ito B
        Acute paraparesis secondary to Arnold-Chiari type 1 malformation and neck hyperreflexion.
        Ann Neurol. 1987; 21: 100-101
        • Scully RF
        • Mark EJ
        • McNeely WF
        • McNeely BU
        Weekly clinicopathological exercises, Case 3-1987.
        N Engl J Med. 1987; 316: 150-157
        • Dang ML
        Arnold-Chiari malformation type 1 appearing after tonsillectomy.
        Anesthesiology. 1987; 67: 120-122
        • Dauser RC
        • DiPietro MA
        • Veries JL
        Symptomatic Chiari 1 malformation in childhood: a report of 7 cases.
        Pediatr Neurosci. 1988; 14: 184-190
        • Gardner WJ
        Hydrodynamic mechanisms of syringomyelia: its relationship to myelocele.
        J Neurol Neurosurg Psychiatr. 1965; 28: 247-259
        • Williams B
        The distending force in the production of “Communicating Syringomyelia”.
        Lancet. 1969; 11: 189-193
        • Ball MJ
        • Dayan AD
        Pathogenesis of syringomyelia.
        Lancet. 1972; 2: 799-801
        • Hoffman HJ
        • Neill J
        • Crone KR
        • Hendrick EB
        • Humphreys RP
        Hydrosyringomyelia and its management in childhood.
        Neurosurgery. 1987; 32: 347-351
        • Wisoff JH
        • Epstein FJ
        Management of hydromyelia.
        in: 15th Annual Meeting of the International Society for Pediatric Neurosurgery, New York1987
        • Dyste GN
        • Menezes AH
        Presentation and management of pediatric Chiari malformations without myelodysplasia.
        Neurosurgery. 1988; 23: 589-597