Holocord hydrosyringomyelia with terminal myelocystocele revealed by constructive interference in steady-state MR imaging

Kimiaki Hashiguchi, Takato Morioka, Kazuhiro Samura, Fumiaki Yoshida, Yasushi Miyagi, Shinji Nagata, Takayuki Kokubo, Takashi Yoshiura, Tomio Sasaki

研究成果: Contribution to journalArticle査読

7 被引用数 (Scopus)

抄録

We report an operated case with terminal myelocystocele and holocord hydrosyringomyelia (syrinx). The patient exhibited a subcutaneous mass at the right lumbosacral region with multiple anomalies including scoliosis and hyperdactylia of the right foot and systemic disease such as hydronephroureter. Neurological examination revealed palsy of the left diaphragm, and left upper and right lower limbs. Constructive interference in steady-state (CISS) images demonstrated a terminal myelocystocele with a huge syrinx extending to the medulla. The curvilinear reconstruction of the CISS sequence depicted continuous cystocele and whole syrinx. At day 37, sac excision and untethering of the spinal cord were performed. The caudal part of the central canal was opened to the subarachnoid space (terminal ventriculostomy), resulting in a slight improvement of limb palsy and shrinkage of the holocord syrinx. CISS imaging is useful to detect the complicated pathology, and terminal ventriculostomy should be performed to improve associated syrinx.

本文言語英語
ページ(範囲)509-512
ページ数4
ジャーナルPediatric Neurosurgery
44
6
DOI
出版ステータス出版済み - 1 2009

All Science Journal Classification (ASJC) codes

  • 小児科学、周産期医学および子どもの健康
  • 外科
  • 臨床神経学

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