Lumbar form of syringomyelia: does it exist?
R.I. DAVLETSHINA1, E.G. MENDELEVICH2
1Republic Clinical Hospital, Kazan
2Kazan State Medical University, Kazan
Contact details:
Davletshina R.I. — PhD (Medicine), neurologist of the Neurology Department No. 1
Address: 138 Orenburgskiy tract, Kazan, Russian Federation, 420064, tel.: +7 (843) 231-21-02, 7-987-264-46-68, e-mail: rez-davletshina@yandex.ru
Syringomyelia is a chronic disease of the spinal cord with the formation of cavities. Before the era of MRI, various forms of syringomyelia were distinguished: cervical, cervical-thoracic, lumbar and lumbosacral forms. Typical symptoms of syringomyelia develop in the hands and are associated with cervical-thoracic localization of the cavity. A rare variant of the clinical distribution of symptoms is their development in the legs, which has traditionally been associated with the lumbosacral form of syringomyelia and the presence of a localized cavity in this area. The results of a study of 140 patients with syringomyelia are presented, among whom 11.4% of neurological symptoms debuted in the legs. The analysis of neurological and neuroimaging parameters of patients with the alleged lumbosacral form of syringomyelia showed a variety of neurological symptoms in the legs, as well as different types and localization of cavities.
Key words: syringomyelia, lumbosacral form, MRI, Chiari malformation.
REFERENCES
- Davletshina R.I., Mendelevich E.G. Course of syringomyelia with onset in adulthood. Prakticheskaya meditsina, 2013, vol. 1, pp. 32–35 (in Russ.).
- Mendelevich E.G., Bogdanov E.I., Ibatullin M.M. Characteristics of cavities in syringomyelia: clinical MRI study. Nevrologicheskiy zhurnal, 2000, no. 1, pp. 23–26 (in Russ.).
- Mendelevich E.G., Mikhaylov M.K., Bogdanov E.I. Siringomieliya i mal’formatsiya Arnol’da — Kiari [Syringomyelia and Arnold-Chiari malformation]. Kazan: Meditsina, 2002. 235 p.
- Shamburov D.A. Siringomieliya. Moscow, 1961. 220 p.
- Van Gijn J., Giesbergen P., Hoogenraad T.U. Attacks of pain in the leg from classic syringomyelia. J. Neurol. Neurosur. Psych, 1997, vol. 63 (3), p. 410. DOI: 10.1136/jnnp.63.3.410
- Flint G. Syringomyelia: diagnosis and management. Pract. Neurol, 2021, vol. 21 (5), rr. 403–411. DOI: 10.1136/practneurol-2021-002994
- Terae S., Hida K., Sasaki H. Diagnosis of syringomyelia and its classification on the basis of symptoms, radiological appearance, and causative disorder. Brain Nerve, 2011, vol. 63 (9), rr. 969–977.
- Vandertop W.P. Syringomyelia. Neuropediatrics, 2014, vol. 45 (1), p. 3. DOI: 10.1055/s-0033-1361921
- Tsitouras V., Sgouros S. Syringomyelia and tethered cord in children. Childs Nerv. Syst, 2013, vol. 29 (9), pp. 1625–1634. DOI: 10.1007/s00381-013-2180-y
- Lipson A., Ellenbogen R.G., Avellino A.M. Radiographic formation and progression of cervical syringomyelia in a child with Untreated Chiari I malformation. Pediatr. Neurosurgery, 2008, vol. 44, pp. 221–223.