F11

Syringomyelia-Chiari 2018 International Symposium Organised by the Ann Conroy Trust, in association with Aesculap Academia.

 

July 17-20, 2018

Birmingham, UK.

 

Welcome to Birmingham

 

 

 

 

The symposium is co-organised by The Ann Conroy Trust, in association with Aesculap Academia.

 

The Ann Conroy Trust is Registered Charity No: 1165808.

We provide Support, Education and Research for patients living with Chiari Malformation, Syringomyelia and associated conditions.

F11 A shunt procedure for post-traumatic and tuberculous syringomyelia treatment.

 

Lou Y, Jin Y, Liu L.

 

Objective.

 

The surgical treatment of post-traumatic and post-tuberculous syringomyelia is challenging. The authors present their surgical technique of placing a subarachnoid shunt above and below the adhesions with two separate laminectomies in order to restore the subarachnoid CSF circulation.

 

Method.

 

Between 2016 and 2017, we treated 32 cases (20 men and 12 women) with post-traumatic and post-tuberculous syringomyelia. The surgical procedure consisted of two separate midline incisions and laminectomies, rostral and caudal to the adhesions. The normal subarachnoid space was exposed and a tube was inserted in each space. The two tubes were connected in the para-spinal plane. The outcomes were assessed clinically and with MRI

 

Results.

 

At 12 months after the surgery 26 patients had improvement in their neurological symptoms and the MRI showed a decrease of the syrinxes. Six cases had no change postoperatively, and the MRI showed no significant changes of the syrinxes. Long term follow up is in progress.

 

Conclusion.

 

Trauma and TB infection of the spinal cord can cause interference of the normal CSF flow, which may lead to syringomyelia. Discrete segment subarachnoid shunting is safe and effective for patients with post-traumatic and post-tuberculous syringomyelia.