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MR-VISUALIZATION IN PATIENTS WITH SYRINGOMYELIA ASSOCIATED WITH ADHESIVE ARACHNOPATHY

https://doi.org/10.24835/1607-0763-2018-2-77-83

Abstract

Objective: to study the basic characteristics of changes revealed by MRI in patients with syringomyelia associated arachnopathy before and after surgery.

Materials and methods. MRI was performed in 58 pat ients with syringomyelia before and after surgery in period from 2013 to 2016.

Results. The diagnosis “syringomyelia” was approved in 41 patients. There was huge regression (more than 50% of volume) of syringomyelia cavity in 17 (41.4%) patients. In 20 (48.7%) patients marked decrease in size syringomyelia cavity (less than 50%), the volume expansion of the front and rear of cerebrospinal fluid spaces.

Conclusions. The use of modern MRI Protocol in various types of syringomyelia allows not only to detect and give a comprehensive feature cavities, but also to detect adhesions, location and length, as well as to assess the dynamics of the disease after surgical treatment.

About the Authors

O. E. Karpov
N.I. Pirogov’s National Medical-Surgical Center.
Russian Federation

Oleg E. Karpov – corresponding member of RAS, doct. of med. sci., professor.

Moscow.



O. Yu. Bronov
N.I. Pirogov’s National Medical-Surgical Center.
Russian Federation

Oleg Yu. Bronov – cand. of med. sci., docent, head of the radiology department.

Moscow.



V. M. Kitaev
N.I. Pirogov’s National Medical-Surgical Center.
Russian Federation

Vyacheslav M. Kitaev – doct. of med. sci., professor, head of the radiology faculty of Postgraduate Institute.

Moscow.



P. S. Vetshev
N.I. Pirogov’s National Medical-Surgical Center.
Russian Federation

Petr S. Vetshev – doct. of med. sci., professor, vice director. 

Moscow.



A. A. Zuev
N.I. Pirogov’s National Medical-Surgical Center.
Russian Federation

Andrey A. Zuev – cand. of med. sci., head of the neurosurgical department №2. 

Moscow.



Yu. A. Filippov
N.I. Pirogov’s National Medical-Surgical Center.
Russian Federation

Yuriy A. Filippov – resident of radiology department. 

Moscow.



References

1. Bogdanov E.I. Siringomieliya. Nevrologicheskiy zhurnal. 2005; 6: 4–11. (In Russian)

2. Schijman E. History, anatomic forms, and pathogenesis of Chiari I malformations. Child's Nervous System. 2004; 20 (5): 323–328. DOI: 10.1007/s00381-003-0878-y.

3. Naruse H., Tanaka K., Kim A., Hakuba A. A new model of spinal cord edema. Acta Neurochir. Suppl. 1997; 70: 293–295.

4. Bilston L.E., Fletcher D.F., Brodbelt A.R., Stoodley M.A. Arterial pulsation-driven cerebrospinal fluid flow in the perivascular space: a computational model. Comput. Methods Biomech. Biomed. Engine. 2003; 6 (4): 235– 241. DOI: 10.1080/10255840310001606116.

5. Harbitz F., Lossius E. Extra-medullary tumor: Arachnoiditis fibrosa cystica et ossificans; Gliosis of the medulla. Acta. Psychiatr. Neurol. 1929; 4: 51–64.

6. Klekamp J. The pathophysiology of syringomyelia – historical overview and current concept. Acta Neurochir. (Wien). 2002; 144: 649–664.

7. Enzmann D.R., Pelc N.J. Normal flow patterns of intracranial and spinal cerebrospinal fluid defined with phase-contrast cine MR imaging. Radiology. 1991; 178: 467–474. DOI: 10.1148/radiology.178.2.1987610.

8. Timpone V.M., Patel S.H. MRI of a syrinx: is contrast material always necessary? Am. J. Roentgenol. 2015; 204 (5): 1082–1085. DOI: 10.2214/AJR.14.13310.

9. Jones B.V. Cord Cystic Cavities: Syringomyelia and Prominent Central Canal. Semin Ultrasound CT MR. 2017; 38(2): 98-104. DOI: 10.1053/j.sult.2016.07.008.

10. Vaquero J., Martínez R., Arias A. Syringomyelia-Chiari complex: magnetic resonance imaging and clinical evaluation of surgical treatment. J. Neurosurg. 1990; 73: 64–68. DOI: 10.3171/jns.1990.73.1.0064.

11. Samii M., Klekamp J. Surgical results of 100 intramedullary tumors in relation to accompanying syringomyelia. Neurosurgery. 1994; 35 (5): 865–873.

12. Rai S.K.R., Rai P.S.K. Volume change theory for syringomyelia: A new perspective. Asian J. Neurosurg. 2010; 4: 245–251. DOI: 10.4103/1793-5482.162680.

13. Anderson T.L., Morris J.M., Wald J.T., Kotsenas A.L. Imaging Appearance of Advanced Chronic Adhesive Arachnoiditis: A Retrospective Review. Am. J. Roentgenol. 2017; 22: 1–8. DOI: 10.2214/AJR.16.16704.


Review

For citations:


Karpov O.E., Bronov O.Yu., Kitaev V.M., Vetshev P.S., Zuev A.A., Filippov Yu.A. MR-VISUALIZATION IN PATIENTS WITH SYRINGOMYELIA ASSOCIATED WITH ADHESIVE ARACHNOPATHY. Medical Visualization. 2018;(2):77-83. (In Russ.) https://doi.org/10.24835/1607-0763-2018-2-77-83

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ISSN 1607-0763 (Print)
ISSN 2408-9516 (Online)