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What is Syringomyelia?
Syringomyelia is a diseased condition in which there is growth of cysts filled with fluid in the spinal corduroy . With time , these cysts commence to enlarge causing pregnant damage to the spinal electric cord resulting in pain , weakness , and stiffness along with other symptom . There may be many causa resulting in maturation of Syringomyelia , although absolute majority of the cases are due to a medical condition called asArnold - Chiari Malformationin which the cerebellum protrude into the top part of the spinal cord due to misshapen and highly small skull . Some of the other causal agency of Syringomyelia are tumors of the spinal electric cord , any type of injury or trauma to the spinal electric cord , or lighting around the spinal electric cord . If Syringomyelia is symptomless then no treatment is render and observation is the preferent option , but in subject if the patient is go through symptoms that are quite bothering then the most best-loved road of treatment is surgical operation .
What Causes Syringomyelia?
As of now the precise cause of Syringomyelia is not unclouded , but when this condition develops there is accumulation of the cerebrospinal fluid around the spinal cord organise these smooth filled cysts . There are also sure aesculapian status which may cause Syringomyelia to let in :
What are the Symptoms of Syringomyelia?
In some cases Syringomyelia , remain completely symptomless but in some cases there may be certain symptoms which ordinarily grow after some time has passed post the development of Syringomyelia . If Syringomyelia is caused due to Arnold - Chiari Malformation then the onset of symptoms may be around the age of 20 - 40 . Early symptoms of Syringomyelia may bear on the back part of the neck , berm , and hand . As and when the condition encourage the pursue symptoms may be observed :
How is Syringomyelia Diagnosed?
To begin with , the Dr. will take a detailed history require as to where the patient has suffered any psychic trauma to the spinal cord . The doctor will then ask as to the duration of the symptoms . A utter physical examination will then be perform to look for signs of any areflexia , muscle weakness or other classic features of Syringomyelia . In some cases , when this experimental condition is completely symptomless then it may be diagnosed apropos when imaging field are being acquit for some other reason . If the doctor suspects , Syringomyelia then the trace test will be bear . MRI scan of the brain and spinal cord to appear at the internal social organization of the mastermind and spinal cord which will virtually confirm the mien of cyst in the spinal cord reassert the diagnosis of Syringomyelia . This MRI scan may be done with or without direct contrast dye being shoot , but MRI with contrast is favour so as to pinpoint the position of the cysts . Once Syringomyelia is confirmed serial MRIs may be conducted to track down the disease process and check for any progression of the disease .
How is Syringomyelia Treated?
address Syringomyelia will bet on the severeness and progression of the disease and what is the harshness of the symptoms . In type if the disease is totally symptomless , then the physician may just recommend observe the condition with sequential MRIs to look for any forward motion of the disease and no treatment is recommend .
In lawsuit if Syringomyelia is causing symptoms which are quite pestiferous to the patient , then the most favored route of treatment is surgery . The main target of the surgical procedure for Syringomyelia is to relieve the pressure the cysts are order on the spinal corduroy and restitute normal flow of the CSF . The surgical procedure required will depend on what is stimulate Syringomyelia . Some of the surgical procedures done are as follows :
Surgery for Syringomyelia Caused due to Arnold - Chiari Malformation : If Syringomyelia is due to this condition then operating theater called later fossa decompressing is perform in which the surgeon will take out a bit of bone from behind the skull to create more room for the brain to expound and hence reduce the pressure being put on the head and spinal cord and thus treating this stipulation along with Syringomyelia .
Draining the Cyst : so as to drain the fluid form the vesicle the sawbones inserts a shunt moderate a subway and a valve with one end of the pipe being sequester to the vesicle and the other end being attached to other part of the body which is usually the abdomen and the fluid is drained from the vesicle using this shunt .
Removal of Obstruction : In shell if there is a tumour or an unnatural growth restricting the slow of the CSF then removal of the tumor is done so as to restitute normal period of the CSF and allowing the fluid from the cyst to drain .
In fount if Syringomyelia is being caused due to a tethered corduroy then correct the abnormalcy is utile in restoring normal stream of the CSF and draining the fluid from the cyst and resolving the symptom which arises from Syringomyelia .
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