Syrinx reduction due to spontaneous spinal cord tear: demonstration on 3 T MRI and review of the literature.

Staglianó, Serena; Prodi, Elena; Goeggel Simonetti, Barbara; Cianfoni, Alessandro (2021). Syrinx reduction due to spontaneous spinal cord tear: demonstration on 3 T MRI and review of the literature. BMJ case reports, 14(12) BMJ Publishing Group 10.1136/bcr-2021-246235

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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.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Goeggel Simonetti, Barbara, Cianfoni, Alessandro

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1757-790X

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Chantal Kottler

Date Deposited:

01 Feb 2022 15:22

Last Modified:

05 Dec 2022 16:01

Publisher DOI:

10.1136/bcr-2021-246235

PubMed ID:

34933894

Uncontrolled Keywords:

congenital disorders neuroimaging neurosurgery spinal cord

BORIS DOI:

10.48350/163853

URI:

https://boris.unibe.ch/id/eprint/163853

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