Syringomyelia and arnold chiari in scoliosis initially classified as idiopathic: Experience with 25 patients

被引:51
作者
Emery E. [1 ]
Redondo A. [1 ]
Rey A. [1 ]
机构
[1] Department of Neurosurgery, Beaujon Hospital, F-92110 Clichy
关键词
Chiari malformation; Scoliosis; Spinal cord; Surgical management; Syringomyelia;
D O I
10.1007/BF01301429
中图分类号
学科分类号
摘要
The authors analysed the clinical and radiological findings and the surgical management of 25 patients admitted for scoliosis classified as idiopathic at first presentation, but in fact associated with spinal cord and/or brain stem anomalies. Twenty patients had syringomyelia, 19 had Chiari malformation. Scoliosis was the only presenting symptom when all these patients were referred to the orthopaedic surgeon. On examination, five patients had normal neurological findings, while the others showed very mild neurological deficits. The diagnosis of syringomyelia and Chiari malformation was established by MRI, which is the best form of neuroradiological examination for discovering spinal abnormalities. Neurosurgical treatment is strongly recommended as the first step in the management of 'pseudo' idiopathic scoliosis.
引用
收藏
页码:158 / 162
页数:4
相关论文
共 18 条
[1]  
Aboulker J., La syringomyélie et les liquides intra-rachidiens, Neurochirurgie, 25, 1 SUPPL., pp. 9-132, (1979)
[2]  
Arai S., Ohtsuka Y., Moriya H., Kitahare H., Minimi S., Scoliosis associated with syringomyelia, Spine, 18, pp. 1591-1592, (1993)
[3]  
Barnes P.D., Brody J.D., Jaramillo D., Akbar J.U., Emans J.B., Atypical idiopathic scoliosis: MR imaging evaluation, Radiology, 186, pp. 247-253, (1993)
[4]  
Blake N.S., Lynch A.S., Dowling F.E., Spinal cord abnormalities in congential scoliosis, Ann Radiol, 29, pp. 237-241, (1986)
[5]  
Bradford D.S., Heithoff K.B., Cohen M., Intraspinal abnormalities and congenital spine deformities: A radiographic and MRI study, J Pediatr Orthop, 11, pp. 36-41, (1991)
[6]  
Depotter J., Rigault P., Pouliquen J.C., Padovani J.P., Hirsch J.F., Regnier D., Besson G., Touzet P.H., Guigand O., Guyonvarch G., Syringomyélie et scoliose chez l'enfant et l'adolescent. A propos de 14 cas, Rev Chir Orthop, 73, pp. 203-212, (1987)
[7]  
Forin V., Hautefort P., Beauvais P., Zerah M., Scoliose et syringomyélie de l'enfant. A propos de 10 cas, Ann Réadaptation Méd Phys, 33, pp. 449-459, (1990)
[8]  
Isu T., Chono Y., Iwasaki Y., Koyanagi I., Akino M., Abe H., Abunmi K., Kaneda K., Scoliosis associated with syringomyelia presenting in children, Childs Nerv Syst, 8, pp. 97-100, (1992)
[9]  
Lena G., Boudawara Z., Genitori L., Cavalhero S., Choux M., 14 cas de syringomyélie communicante associée à une malformation de chiari type I chez l'enfant, Neurochirurgie, 38, pp. 297-303, (1992)
[10]  
Lewonoswski K., King J.D., Nelson M.D., Routine use of magnetic resonance imaging in idiopathic scoliosis patients less than eleven years of age, Spine, 17, (1992)