Deformation of the cervicomedullary junction and spinal cord in a surgically treated adult Chiari I hindbrain hernia associated with syringomyelia: A magnetic resonance microscopic and neuropathological study. Case report

Journal of Neurosurgery

Volumn 85, Issue 4, 1996, Pages 701-708

  Beuls, Emile A M ^a   Vandersteen, Marie Anne M ^b   Vanormelingen, Linda M ^b   Adriaensens, Peter J ^b   Freling, Gerard ^b   Herpers, Marcel J H M ^b   Gelan, Jan M ^b  

^a MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

^b NONE

Author keywords

Chiari I malformation; magnetic resonance imaging; syringomyelia

Indexed keywords

ADULT; ARNOLD CHIARI MALFORMATION; ARTICLE; BRAIN DECOMPRESSION; BRAIN HERNIA; BRAIN STEM; CASE REPORT; CERVICAL SPINAL CORD; FEMALE; HUMAN; MEDULLA OBLONGATA; MICROSCOPY; NEUROPATHOLOGY; NUCLEAR MAGNETIC RESONANCE; PRIORITY JOURNAL; SYRINGOMYELIA;

EID: 0029843031     PISSN: 00223085     EISSN: None     Source Type: Journal    
DOI: 10.3171/jns.1996.85.4.0701     Document Type: Article

References (50)

1. Ball MJ, Dayan AD: Pathogenesis of syringomyelia. Lancet 2:799-801, 1972
2. Barkovich AJ, Wippold FJ, Sherman JL, et al: Significance of cerebellar tonsillar position on MR. AJNR 7:795-799, 1986
3. Bamett HJM, Foster JB, Hudgson P: Syringomyelia. Philadelphia: WB Saunders, 1973, pp 1-123, 245-253
4. Batzdorf U: Chiari I malformation with syringomyelia. Evaluation of surgical therapy by magnetic resonance imaging. J Neurosurg 68:726-730, 1988
5. Bekkali F, Doyon D, Idir ABC, et al: IRM des syringomyélies malformatives. Aspect descriptif et évolutif. J Radiol 73: 109-114, 1992
6. Beuls EAM, Gelan JM, Vandersteen M, et al: Microanatomy of the excised human spinal cord and the cervicomedullary junction examined with high-resolution MR imaging at 9.4 Tesla. AJNR 14:699-707, 1993
7. Boyko OB, Alston SR, Fuller GN, et al: Utility of postmortem magnetic resonance imaging in clinical neuropathology. Arch Pathol Lab Med 118:219-225, 1994
8. Dohrmann GJ: Cervical spinal cord in experimental hydrocephalus. J Neurosurg 37:538-542, 1972
9. Dyste GN, Menezes AH: Presentation and management of pédiatric Chiari malformations without myelodysplasia. Neurosurgery 23:589-597, 1988
10. Enzmann DR: Imaging of syringomyelia, in Batzdorf U (ed): Syringomyelia: Current Concepts in Diagnosis and Treatment. Baltimore: Williams & Wilkins, 1991, pp 116-139
11. Feigin I, Ogata J, Budzilovich G: Syringomyelia: the role of edema in its pathogenesis. J Neuropathol Exp Neurol 30: 216-232, 1971
12. Foster JB: Neurology of syringomyelia, in Batzdorf U (ed): Syringomyelia: Current Concepts in Diagnosis and Treatment. Baltimore: Williams & Wilkins, 1991, pp 91-115
13. Gilbert JN, Jones KL, Rorke LB, et al: Central nervous system anomalies associated with meningomyelocele, hydrocephalus, and the Arnold-Chiari malformation: reappraisal of theories regarding the pathogenesis of posterior neural tube closure defects. Neurosurgery 18:559-564, 1986
14. Greenfield JG: Syringomyelia and syringobulbia, in Blackwood W, McMenemey WH, Meyer A, et al (eds): Greenfield's Neuropathology. London: Arnold, 1963, p 331
15. Haines SJ, Berger M: Current treatment of Chiari malformations types I and II: a survey of the pediatric section of the American Association of Neurological Surgeons. Neurosurgery 28:353-357, 1991
16. Hall PV, Muller J, Campbell RL: Experimental hydrosyringomyelia, ischemic myelopathy, and syringomyelia. J Neurosurg 43:464-470, 1975
17. Hoffman HJ, Neill J, Crone KR, et al: Hydrosyringomyelia and its management in childhood. Neurosurgery 21:347-351, 1987
18. Isu T, Iwasaki Y, Akino M, et al: Hydrosyringomyelia associated with a Chiari I malformation in children and adolescents. Neurosurgery 26:591-596, 1990
19. Jack CR Jr, Kokmen E, Onofrio BM: Spontaneous decompression of syringomyelia: magnetic resonance imaging findings. Case report. J Neurosurg 74:283-286, 1991
20. Koehler PJ: Chiari's description of cerebellar ectopy (1891). With a summary of Cleland's and Arnold's contributions and some early observations on neural-tube defects. J Neurosurg 75:823-826, 1991
21. Levy WJ, Mason L, Hahn JF: Chiari malformation presenting in adults: a surgical experience in 127 cases. Neurosurgery 12: 377-390, 1983
22. Logue V, Edwards MR: Syringomyelia and its surgical treatment - an analysis of 75 patients. J Neurol Neurosurg Psychiatry 44:273-284, 1981
23. McLaurin RL, Bailey OT, Schurr PH, et al: Myelomalacia and multiple cavitations of spinal cord secondary to adhesive arachnoiditis. An experimental study. Arch Pathol 57: 138-146, 1954
24. Menezes AH: Chiari I malformations and hydromyelia - complications. Pediatr Neurosurg 17:146-154, 1991-1992
25. Milhorat TH, Johnson WD, Miller JI, et al: Surgical treatment of syringomyelia based on magnetic resonance imaging criteria. Neurosurgery 31:231-245, 1992
26. Morioka T, Kurita-Tashima S, Fujii K, et al: Somatosensory and spinal evoked potentials in patients with cervical syringomyelia. Neurosurgery 30:218-222, 1992
27. Netsky MG: Syringomyelia. A clinicopathologic study. Arch Neurol Psychiatry 70:741-777, 1953
28. Newman PK, Terenty TR, Foster JB: Some observations on the pathogenesis of syringomyelia. J Neurol Neurosurg Psychiatry 44:964-969, 1981
29. Newton EJ: Syringomyelia as a manifestation of defective fourth ventricular drainage. Ann R Coll Surg Eng 44: 194-213, 1969
30. Oakes WJ: Chiari malformations, hydromyelia, syringomyelia, in Wilkins RH, Rengachary SS (eds): Neurosurgery. New York: McGraw-Hill, 1985, pp 2102-2124
31. Oldfield EH, Muraszko K, Shawker TH, et al: Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils. Implications for diagnosis and treatment. J Neurosurg 80:3-15, 1994
32. Paul KS, Lye RH, Strang AF, et al: Amold-Chiari malformation. Review of 71 cases. J Neurosurg 58:183-187, 1983
33. Pillay PK, Awad IA, Little JR, et al: Symptomatic Chiari malformation in adults: a new classification based on magnetic resonance imaging with clinical and prognostic significance. Neurosurgery 28:639-645, 1991
34. Pollack IF, Pang D, Kocoshis S, et al: Neurogenic dysphagia resulting from Chiari malformations. Neurosurgery 30: 709-719, 1992
35. Rascher K, Booz KH, Donauer E, et al: Structural alterations in the spinal cord during progressive communicating syringomyelia. An experimental study in the cat. Acta Neuropathol 72: 248-255, 1987
36. Rhoton EL, Rhoton AL Jr: Chiari malformation with syringocephaly. Case report. J Neurosurg 75:791-794, 1991
37. Salam MZ, Adams RD: The Arnold-Chiari malformation, in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. Vol 32: Congenital Malformations of the Spine and Spinal Cord. Amsterdam: Elsevier, 1972, pp 99-110
38. Schliep G: Syringomyelia and syringobulbia, in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology. Vol 32: Congenital Malformations of the Spine and Spinal Cord, ed 2. Amsterdam: Elsevier, 1978, pp 255-327
39. Sherman JL, Barkovich AJ, Citrin CM: The MR appearance of syringomyelia: new observations. AJR 148:381-391, 1987
40. Shingu H, Kimura I, Nasu Y, et al: Microangiographic study of spinal cord injury and myelopathy. Paraplegia 27:182-189, 1989
41. Sieben RL, Hamida MB, Shulman K: Multiple cranial nerve deficits associated with the Arnold-Chiari malformation. Neurology 21:673-681, 1971
42. Tortosa A, Arbizu T, Ferrán E, et al: Neuralgia del trigémino como primera manifestación en la malformación de Arnold-Chiari. Neurologia 6:148-150, 1991
43. Van den Bergh R, Hoorens G, Van Calenbergh F: Syringomyelia: a retrospective study. Part I: Clinical features. Acta Neurol Belg 90:93-99, 1990
44. Vandersteen M, Beuls E, Gelan J, et al: High field magnetic resonance imaging of normal and pathologic human medulla oblongata. Anat Rec 238:277-286, 1994
45. Vinters HV: Neuropathology of syringomyelia, in Batzdorf U (ed): Syringomyelia: Current Concepts in Diagnosis and Treatment. Baltimore: Williams & Wilkins, 1991, pp 35-58
46. Wester K, Pedersen PH, Kråkenes J: Spinal cord damage caused by rotation of a T-drain in a patient with syringoperitoneal shunt. Surg Neurol 31:224-227, 1989
47. Williams B: Pathogenesis of syringomyelia, in Batzdorf U (ed): Syringomyelia: Current Concepts in Diagnosis and Treatment. Baltimore: Williams & Wilkins, 1991, pp 59-90
48. Williams B: Progress in syringomyelia. Neurol Res 8:130-145, 1986
49. Williams B: Syringomyelia. Neurosurg Clin North Am 1: 653-685, 1990
50. Wolpert SM, Scott RM, Platenberg C, et al: The clinical significance of hindbrain herniation and deformity as shown on MR images of patients with Chiari II malformation. AJNR 9: 1075-1078, 1988