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What is Hydromyelia?
Hydromyelia is quite an uncommon neurological disorder in which an individual develops fluid - replete cavity named assyrinxwithin the spinal cord . This fluid filled cavity or syrinx is usually noted in the neck opening part . As the disease advances , this cavity enlarges thus causing important equipment casualty to the nerve fibers ensue in numerous symptoms . The classic presenting features of Hydromyelia are muscle rigor and weakness along with severe pain . There is also sensational alteration where the patient loses the ability to differentiate between what is hot or cold . The severity of the symptoms of Hydromyelia progress with the passage of time and may be dissimilar for different soul . How terrible the symptoms may become depends on the placement of the syrinx and how much it has enlarged and distended . It is urge that if Hydromyelia is diagnosed then it be treated promptly so as to head off further potentially serious neurologic complications . Hydromyelia usually occurs in male person more than female and is seen between the ages of 20 - 30 .
What Causes Hydromyelia?
What exactly causes Hydromyelia is still a thing of on-going study at the present time , although it is almost always caused due to obstacle of the flow rate of the cerebrospinal fluid which is a fluid which protects the brain and spinal corduroy . Once the flow of CSF is block , it results in aggregation of the CSF causing dilatation of the spinal corduroy cause pressure on the nerves resulting in symptoms . Hydromyelia may be present at the time of birth or may develop much later in life . It is usually divided into two group
Congenital Form of Hydromyelia : This is a human body of Hydromyelia which is present since birth and is associate with a aesculapian precondition have a go at it asArnold Chiari malformation . In this form of Hydromyelia , the psyche tissue stretch forth into the spinal cord obstructing flow of the CSF .
take signifier of Hydromyelia : This form of Hydromyelia develop as a result of some medical condition namely tumor or any type of injury to the spinal cord .
Some other medical atmospheric condition which can cause Hydromyelia are :
Scoliosis : This is a medical condition in which there is a curvature in the spine give it a bent appearance .
Klippel - Feil Syndrome : This is a medical condition in which there is congenital nuclear fusion of the vertebrae of the cervix limiting its motion .
What are the Symptoms of Hydromyelia?
In almost all the cases of Hydromyelia , the patients develop symptom quite gradually with time . Hydromyelia which is associated with Arnold Chiari misshapenness start out to show up symptom during the adolescent twelvemonth of the patient . If Hydromyelia is caused due to a tumour or a hurt then symptom will be caused with any character of straining activities . The symptoms of Hydromyelia are unlike for dissimilar people and look on the localization of the syrinx and the extent of damage caused to the nerve fibre . Some of the symptoms of Hydromyelia are :
How is Hydromyelia Diagnosed?
for name Hydromyelia , the medico will first conduct a elaborate story of the patient as to when the symptoms bug out and any anterior history of hurt or injury to the spinal cord . The physician will then direct a detailed physical examination looking for present signs of Hydromyelia like muscle impuissance and areflexia along with muscle weakness and nuisance with palpation of the cervix neighborhood . The physician may order stock trial run to dominate out other infectious appendage which may cause similar symptom to that of Hydromyelia . Once Hydromyelia is suspected the best way to confirm the diagnosis is by conducting an MRI of the brain and spinal cord , which will clearly show development of syrinx . It will also show how much the syrinx has enlarged and to what extent the CSF flow is obstructed .
How is Hydromyelia Treated?
Treating Hydromyelia will look on the severeness and progression of the disease and what is the rigourousness of the symptom . In case if the disease ( Hydromyelia ) is completely asymptomatic , then the physician may just recommend note the condition with serial MRI to look for any forward motion of the disease and no treatment is urge .
In case if Hydromyelia is make symptoms which are quite bothersome to the patient then the most preferred route of treatment is surgery . The main aim of the operative procedure for Hydromyelia is to exempt the pressure the vesicle are place on the spinal corduroy and restore normal stream of the CSF . The operative procedure require will depend on what is causing Hydromyelia . Some of the surgical procedure done are as follow :
OR for Arnold - Chiari Malformation : If Hydromyelia is induce by this experimental condition then surgery called posterior fossa decompression is performed in which the surgeon will take out a flake of pearl from behind the skull to produce more elbow room for the brainpower to extend and hence quash the atmospheric pressure being put on the brain and spinal electric cord and thus treat this condition along with Hydromyelia .
drain the vesicle : for debilitate the smooth form the cyst the surgeon inserts a electrical shunt containing a tube and a valve with one end of the tube being attached to the vesicle and the other end being attached to other part of the torso , which is commonly the venter and the fluid is drained from the vesicle using this shunt .
Removal of Obstruction : In case if there is a neoplasm or an abnormal growth restricting the slow of the CSF then remotion of the tumor is done so as to restore normal rate of flow of the CSF and allowing the fluid from the cysts to enfeeble .
In case if Hydromyelia is being caused due to a tethered electric cord then correcting the irregularity is useful in restoring normal catamenia of the CSF and drain the fluid from the cyst and resolving the symptom which arises from Hydromyelia .
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