PMID- 21519303
OWN - NLM
STAT- MEDLINE
DCOM- 20120326
LR  - 20161125
IS  - 1539-2465 (Electronic)
IS  - 1536-0652 (Linking)
VI  - 24
IP  - 3
DP  - 2011 May
TI  - Acute central canal dilatation after minimally invasive lateral cervical 
      decompression through the Frykholm approach.
PG  - 208-11
LID - 10.1097/BSD.0b013e3181e16217 [doi]
AB  - STUDY DESIGN: A case report to describe the first case of an acute central canal 
      dilatation after minimally invasive lateral cervical decompression. OBJECTIVE: To 
      emphasize the need of being aware of this rare spinal disorder. SUMMARY OF 
      BACKGROUND INFORMATION: A holocord syrinx is known as a complication of Chiari 
      malformation. Furthermore, it can occur spontaneously, after trauma or infection. 
      METHODS: A 63-year-old patient with a left-sided nerve root stenosis, C3/C4, 
      because of uncovertebral and intervertebral joint osteoarthritis with paresis of 
      the left deltoid muscle, underwent minimally invasive decompression of the C4 
      nerve root according to the Frykholm approach. RESULTS: An immediately 
      postoperative recognizably complete paresis of the right arm was because of 
      hydromyelia from the fourth ventricle down to the thoracic spine. A minimal edema 
      of the spinal cord was present. No abnormality of the spinal cord had been 
      detected on preoperative magnetic resonance imaginary (MRI).At revision surgery 
      high pressure was found within the hydromyelia. Subarachnoid drainage did not 
      improve the neurologic deficits. On account of increasing edema of the spinal 
      cord paraplegia developed, which almost completely resolved after further 
      revision. CONCLUSION: The reason for the hydromyelia is unclear. Routinely used 
      MRI is not able to detect a collapsed central canal of the spinal cord. Acute 
      hydromyelia causes permanent neurologic deficits whereas edema might lead to 
      transient disturbances.
FAU - Foelsch, Christian
AU  - Foelsch C
AD  - Department of Orthopedics and Rheumatology, University Hospital Giessen and 
      Marburg, Baldingerstrasse, Marburg, Germany.
FAU - Peterlein, Christian-Dominik
AU  - Peterlein CD
FAU - Fuchs-Winkelmann, Susanne
AU  - Fuchs-Winkelmann S
FAU - Lakemeier, Stefan
AU  - Lakemeier S
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - J Spinal Disord Tech
JT  - Journal of spinal disorders & techniques
JID - 101140323
SB  - IM
MH  - Acute Disease
MH  - Decompression, Surgical/*adverse effects/methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimally Invasive Surgical Procedures/*adverse effects/methods
MH  - Neurosurgical Procedures/*adverse effects/methods
MH  - Radiculopathy/diagnostic imaging/*surgery
MH  - Radiography
MH  - Spinal Stenosis/diagnostic imaging/*surgery
MH  - Syringomyelia/*diagnosis/etiology
EDAT- 2011/04/27 06:00
MHDA- 2012/03/27 06:00
CRDT- 2011/04/27 06:00
PHST- 2011/04/27 06:00 [entrez]
PHST- 2011/04/27 06:00 [pubmed]
PHST- 2012/03/27 06:00 [medline]
AID - 00024720-201105000-00013 [pii]
AID - 10.1097/BSD.0b013e3181e16217 [doi]
PST - ppublish
SO  - J Spinal Disord Tech. 2011 May;24(3):208-11. doi: 10.1097/BSD.0b013e3181e16217.