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Post-traumatic syringomyelia with holocord involvement : a case report
Jong Min Lee, Hong Bo Sim, In Uk Lyo, Soon Chan Kwon
Department of Neurological surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
Correspondence  Hong Bo Sim ,Tel: 82-52-250-7139, Fax: 82-52-250-7138, Email: nssim01@gmail.com
Received: August 31, 2018;  Accepted: September 12, 2018.  Published online: September 12, 2018.
ABSTRACT
Introduction: Post-traumatic syringomyelia occurs in nearly half of all spinal cord injury (SCI) patients. However there haves been very few cases of syringomyelia of the entire spinal cord, known as holocord syringomyelia. Here, we discuss a case of post-traumatic holocord syringomyelia in the light of a the literature review. Case reports: A 43-year-old man presented with ongoing motor weakness of the left upper extremity. He had a history of SCI with a spinal fusion operation. The spine magnetic resonance(MR) image revealed an expansive high signal intensity lesion in the spinal cord from the medulla to T12.
Results:
Total T8 laminectomy and syringopleural shunt placement were performed. The patient’s motor weakness of the left upper extremity recovered and the extent of syrinx decreased remarkably at the 1 year follow up MR imaging.
Conclusion:
Physicians should consider holocord syringomyelia as a possibility in patients with ongoing neurologic deficit with a history of SCI.
Key words: Syringomyelia; Holocord; Post traumatic; Syringopleural shunt
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Posttraumatic Syringomyelia with Holocord Involvement: A Case Report  2018 October;4(2)
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