Bruce, C. A.; Crandon, Ivor W.; Ramcharan, R.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
Syringomyelia: Does Pathophysiologic-Guided Intervention Yield Better Results? [Abstract]
West Indian Medical Journal
Date of Publication
52 Suppl. 6
Objectives: The outcome of this condition was accepted as being uniformly poor, partly due to treatment uncertainty. Its incidence is increasing due to improved management of spinal dysraphism and increased utilization of magnetic resonance imaging (MRI). The elucidation of the pathophysiology in recent years has refined operative intervention. We reviewed our cases to determine if the new treatment paradigm has had an impact on patient recovery. Method: All patients with syringomyelia were identified from the Section of Surgery prospective operative database. Demographic and treatment data were cross referenced with the patients' chart in the Medical Records Department. Conclusion: The treatment of syringomyelia associated with Chiari malformation has evolved based on randomized controlled elucidation of the pathophysiology. The patients in the latter part of the series showed clinical and radiological improvement after craniovertebral decompression. We recommend this as the treatment of choice for Chiari-associated syringomyelia.....