Syrinx reduction due to spontaneous spinal cord tear: demonstration on 3 T MRI and review of the literature.
congenital disorders
neuroimaging
neurosurgery
spinal cord
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
21 Dec 2021
21 Dec 2021
Historique:
pmc-release:
21
12
2023
entrez:
22
12
2021
pubmed:
23
12
2021
medline:
24
12
2021
Statut:
epublish
Résumé
A holocord syringomyelia due to Chiari 1.5 malformation (CM) in a 12-year-old girl was serially imaged with 3 T MRI over 4 years. The serial MRI showed reduction in size of the syrinx, without any surgical intervention or CM improvement, but rather due to spontaneous spinal cord tear. The tear was clearly demonstrated by evidence of flow signal across the tear between syrinx and subarachnoid space at the upper thoracic level. The tear showed spontaneous closure at follow-up. A medullary tear has been described in the adult population as one of the putative causes of spontaneous syringomyelia reduction, but its clear demonstration with modern high-resolution MRI has not been reported in the paediatric population. Moreover, this is the first reported case of syrinx reduction due to spontaneous fissuration in a paediatric patient.
Identifiants
pubmed: 34933894
pii: 14/12/e246235
doi: 10.1136/bcr-2021-246235
pmc: PMC8693093
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.