Neuro-Ophthalmologic Complications of Syringobulbia

被引:0
作者
Martín Nogués
Lidia López
Francisco Meli
机构
[1] Instituto de Investigaciones Neurológicas “Raúl Carrea” (FLENI),Department of Neurology
[2] Instituto de Investigaciones Neurológicas “Raúl Carrea” (FLENI),Neuro
[3] Instituto de Investigaciones Neurológicas “Raúl Carrea” (FLENI),Ophtalmologic Section
来源
Current Neurology and Neuroscience Reports | 2010年 / 10卷
关键词
Syringobulbia; Syringomyelia; Chiari I; Horner; Oscillopsia; Nystagmus; Diplopia; See-saw; Skew deviation; Neuro-ophthalmologic; Deiters; Roller;
D O I
暂无
中图分类号
学科分类号
摘要
Syringobulbia is an uncommon condition, usually a late complication of syringomyelia. It has predilection for the dorsolateral region of the medulla leading to damage to vestibular nuclei and their connections, as well as to the descending sympathetic fibers. Oscillopsia, nystagmus, and Horner syndrome are frequent manifestations of syringobulbia. Oscillopsia may be a disturbing symptom for the patient, whereas Horner syndrome is usually an asymptomatic finding. MRI detection of syringomyelia has led to earlier treatment of syringomyelia and prevention of upward extension of the cavity. This probably explains why syringobulbia is less frequently encountered at present. We propose to describe the neuro-ophthalmologic symptoms and signs that may be observed in patients with syringobulbia and the mechanisms involved in their appearance.
引用
收藏
页码:459 / 466
页数:7
相关论文
共 58 条
  • [1] Gardner WJ(1965)Hydrodynamic mechanisms of syringomyelia: its relationship to myelocele J Neurol Neurosurg Psychiatry 28 247-259
  • [2] Newman PK(1981)Some observations on the pathogenesis of syringomyelia J Neurol Neurosurg Psychiatry 44 964-969
  • [3] Terenty TR(1969)The distending force in the production of “communicating syringomyelia” Lancet 2 51-53
  • [4] Foster JB(1980)On the pathogenesis of syringomyelia J R Soc Med 73 798-806
  • [5] Williams B(1986)Progress in syringomyelia Neurol Res 8 130-145
  • [6] Williams B(1981)Simultaneous cerebral and spinal fluid pressure recordings. 2. Cerebrospinal dissociation with lesions at the foramen magnum Acta Neurochir (Wien) 59 123-142
  • [7] Williams B(2002)Cardiovascular and respiratory consequences of bilateral involvement of the medullary intermediate reticular formation in syringobulbia Clin Autonom Res 12 450-456
  • [8] Williams B(2000)Isolated Horner syndrome J Neurol Neurosurg Psychiatry 69 131-132
  • [9] Heidel KM(2000)Isolated Horner’s syndrome and syringomyelia J Neurol Neurosurg Psychiatry 69 131-132
  • [10] Benarroch EE(2002)Isolated Horner Syndrome and syrinx of the cervical spinal cord Am J Ophthalmol 133 702-704