Sandbox:Eman

1.overvew;Syringomyelia is a generic term referring to a disorder in which a cyst or tubular cavity forms within the spinal cord. This cyst, called a syrinx, can expand and elongate over time, destroying the spinal cord. Since the spinal cord connects the brain to nerves in the extremities, this damage may result in pain, weakness, and stiffness in the back, shoulders, arms, or legs. Other symptoms may include headaches and a loss of the ability to feel extremes of hot or cold, especially in the hands {wikipedia}=

2.Risk factors for the development of syringomyelia depend on the underlying etiology

3.The natural course of disease in syringomyelia is unpredictable(history)

4.80% of patients respond to surgical treatment in terms of hault to progression of symptoms and mild relief.{prognosis)

5{.Physical examination} findings of syringomyelia may include the followig:physical examination

6.Spinal MRI may help to diagnose and follow up syringomyelia. It is characterized by the following findings{MRI}

Syringomyelia may be diagnosed as an incidental finding on CT scan. However, delayed CT scan may have a diagnostic importance in early cases of syringomyelia without clinical manifestaions.(CT)

7.It uses a contrast material combined with x ray or CT to image spinal cord in case of syringomyelia. However, CT metrimised myelography is more sensitive to diagnose syringomyelia as compared to conventional myelography.{mylogram}

management??

reference:25,37,38,39,65