CLINICAL AND МRI PECULIARITIES OF DYNAMICS IN PEDIATRIC SYRINGOMYELIA

Abstract

A clinical and MRI study of 39 patients with syringomyelia, which began at an early age, was performed. The results showed that in 74, 4% of cases pediatric syringomyelia begins with development of scoliosis. There were identified three main variants of start and course of syringomyelia in childhood, combined with scoliosis: 1 - lack of neurological symptoms for a long time and a progressive-relapsing course in adulthood, 2 - rapid development of pain, and then other neurological symptoms with a progressive-relapsing course, 3-development of symptoms of foramen magnum and the subsequent formation of remitting course of other neurological symptoms. Neuroimaging studies have shown a decrease of cystic index, as well as significant reduction in the degree of malformation in patients with Chiari syringomyelia of an early age during examination after 15 year- period from the onset.

Keywords

syringomyelia / course / scoliosis / cerebellar tonsils ectopia / magnetic resonance

References

[1] 1. Борисова Н.А., Валикова И.В., Кучаева Г.А. Сирингомиелия. - М.,1989. - 160 с.

[2] 2. Менделевич Е.Г., Михайлов М.К., Богданов Э.И. Сирингомиелия и мальформация Арнольда-Киари. - Казань: Медицина, 2002. - 235 с.

[3] 3. Шамбуров Д.А. Сирингомиелия. - М., 1961. - 220 с.

[4] 4. Charry O., Koop S., Winter R., Lonstein J. et al. Syringomyelia and scoliosis: a review of twenty-five pediatric patient // J. Pediatr. Orthop. - 1994. - Vol.14. - P. 309-314.

[5] 5. Dobbs M.B., Lenke L.G., Szymanski D.A. et al. Prevalence of neural axis abnormalities in patients with infantile idiopathic scoliosis // The J. of bone & joint surgery. - 2002. - Vol. 84 A, №12. - P. 2230-2223.

[6] 6. Fernandez A.A., Guerrero A.I., Martinez M.I. et al. Malformations of the craniocervical junction (chiari type 1 and syrimgomyelia: classification, diagnosis and treatment) // BMC Musculoskeletal. Disorders. - 2009. - Vol.10. - P.1-11.

[7] 7. Guillen A., Costa J.M. Spontaneous resolution of a Chiari I malformation associated syringomyelia in a child // Acta Neurochir. - 2004. - Vol.146. - P. 187-191.

[8] 8. Gupta R., Sharma R., Vashisht S., Ghandi D. et al. Magnetic resonance evaluation of idiopathic scoiiosis: A prospective study // Australasian Radiology. -1999. - Vol.43. - Р. 461-465.

[9] 9. Haroun R.I., Guarnieri M., Meadowa J. et al. Current opinions for the treatment of syringomyelia and Chiari malformations: survey of the pediatric section of the American association of neurological surgeons // Pediatr. Neurosergery. - 2000. - Vol.33. - Р.311-317.

[10] 10. Hausman O.N., Boni T., Pfirrman C.W. Preoperativ radiological and electrophysiological evolution in 100 adolescent idiopathic scoliosis patient // Eur. Spine J. -2003. - Vol. 12. - P.501-506.

[11] 11. Kontio K., Davidson D., Letts M. Management of scoliosis and syringomyelia in children // J. Pediatr. Orthop. - 2002. - Vol.22. - P. 771-779.

[12] 12. Mejia E.A., Hennrikus W.A., Schwend R.M., Emans J.B. A prospective evaluation of idiopathic left thoracic scoliosis with magnetic resonance imaging // J. Pediatr. Orthop. - 1996. - Vol.16. - P. 354-358.

[13] 13. Monterrubio А.С., Chavarrнa J.C., Dominguez Crespo J.L. Anormalidades raquнdeas en escoliosis torбcica izquierda // Acta ortopedica Mexicana. - 2005. - Vol.19. - P. 2-5.

[14] 14. Muhonen M.G., Menezes A.H., Sawin P.D., Weinstein S.L. Scoliosis in pediatric Chiari malformations without myelodysplasia // J. Neurosurg. -1992. - Vol. 77. - P. 69-77.

[15] 15. Qiu Y., Zhu Z., Wang B., Yu Y. Radiology presentations in relation to curve severity in scoliosis associated with syringomyelia yong // Research into spinal deformities 5. - 2006. - Vol.5. - P. 543-548.

[16] 16. Qiu Y., Zhu Z., Wang B., Yu Y. Abnormal spread of functional acetylcholine receptor of paraspinal muscles in scoliosis associated with syringomyelia // Research into spinal deformities 5. - 2006. - Vol.5. - P. 117-122.

[17] 17. Yeom J.S., Lee C.K, Park K.W., Lee J.H. Scoliosis associated with syringomyelia: analysis of MRI and curve progression // Eur. Spine J. - 2007. - Vol.16. - P.1629-1635.

[18] 18. Peter P.S., Harrop J., Sutton L.N. Complete spontaneous resolutions of childhood Chiari I Malformation and associated syringomyelia // Pediatrics. - 2001. - Vol.107. - P. 182-185.

RIGHTS & PERMISSIONS

Mendelevich Е.G., Davletshina R.I., Dunin D.N.