Scoliosis associated with syringomyelia presenting in children |
| |
| Authors: | Toyohiko Isu Yoshimi Chono Yoshinobu Iwasaki Izumi Koyanagi Minoru Akino Hiroshi Abe Kuniyoshi Abumi Klyoshi Kaneda |
| |
| Affiliation: | (1) Department of Neurosurgery, University of Hokkaido School of Medicine, Sapporo, Japan;(2) Department of Orthopaedic Surgery, University of Hokkaido School of Medicine, Sapporo, Japan;(3) Present address: Department of Neurosurgery, Kushiro Rousai Hospital, Nakazono-cho 13-23, 085 Kushiro, Japan |
| |
| Abstract: | The clinical presentations and radiological features of scoliosis accompanying syringomyelia were analyzed in 14 cases of syringomyelia associated with a Chiari malformation in children. Scoliosis was the initial symptom in 11 out of 16 patients (64%) with syringomyelia and present in 14 (88%) at the initial examination. The scoliosis associated with syringomyelia was characterized by a higher incidence of a single curve (6 cases, 43%) and convexity to the left (7 cases, 50%) than seen in idiopathic scoliosis. The syrinx was shifted to the convex side of scoliosis on the axial section at the middle or lower thoracie level in patients with a single curve, and at the cervical or upper thoracic level in patients with a double curve. The authors think that the scoliosis develops in children as a result of damage done to the anterior horn, which innervates the muscles of the trunk, by an asymmetrically expanded syrinx. |
| |
| Keywords: | Chiari malformation Children Magnetic resonance imaging Scoliosis Syringomyelia |
| 本文献已被 SpringerLink 等数据库收录！ |
|
