Syringomyelia associated with cervical spondylotic myelopathy

Authors

Keywords:

spinal canal, spinal cord, spinal cord diseases, syringomyelia.

Abstract

Introduction: Syringomyelia is a disease of the spinal cord consisting of cystic cavitation, most often affecting the cervical cord. Spondylotic myelopathy is a common disease, rarely described as a cause of syringomyelia.
Objective: To present an unusual clinical case of syringomyelia associated with cervical spondylotic myelopathy.
Case report: A 62-year-old male patient presented to the emergency department with cervical pain, paresthesias and weakness of the extremities. On physical examination he presented flaccid arreflexic quadriparesis flaccida, sensory level in D3, urinary retention, trapezius and sternocleidomastoid weakness. He developed acute ventilatory failure and was transferred to the intensive care unit. He died due to complications of prolonged bed rest.
Conclusions: The association of syringomyelia and cervical spondylotic myelopathy is uncommon. The clinical form in which the patient presented is not specific to these diseases, moreover, it was a severe condition accompanied by respiratory involvement. The imaging study showed stenosis of the cervical spinal canal and cord compression, with syringomyelic cavity.

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References

1. Pérez Águila CM, Dornés Ramón R, Álvarez Llanes R, Martínez Castro Y. Hemangioblastoma del bulbo raquídeo asociado a siringomielia. Revista Cubana de Neurología y Neurocirugía. 2021 [acceso: 12/04/2022]; 11(1):12. Disponible en: http://www.revneuro.sld.cu/index.php/neu/article/view/419/618

2. Montalvo Herdoíza JP, Moreira-Vera DV. Evolución Natural De La Siringomielia: Presentación De Un Caso. Rev Ecuat Neurol. 2017 [acceso: 25/04/2022]; 26(1):72-4. Disponible en: http://scielo.senescyt.gob.ec/scielo.php?script=sci_arttext&pid=S2631-25812017000300072&lng=es

3. Landi A, Nigro L, Marotta N, Mancarella C, Donnarumma P, Delfini R. Syringomyelia associated with cervical spondylosis: A rare condition. World J Clin Cases. 2013 [acceso: 12/04/2022]; 1(3):111-15. Disponible en: https://www.researchgate.net/publication/259156500_Syringomyelia_associated_with_cervical_spondylosis_A_rare_condition

4. Pillich D, El Refaee E, Mueller JU, Safwat A, Schroeder HWS, Baldauf J. Syringomyelia associated with cervical spondylotic myelopathy causing canal stenosis. A rare association. Neurol Neurochir Pol. 2017; 51(6):471-5. DOI: 10.1016/j.pjnns.2017.08.002

5. Carballido Sánchez J, Fuentes Salomón S, Salomón Vila A. Caracterización de pacientes con mielopatía espondilótica cervical intervenidos por disectomía anterior. Universidad Médica Pinareña. 2020 [acceso: 25/04/2022]; 16(3):7. Disponible en: http://www.revgaleno.sld.cu/index.php/ump/article/view/517

6. Gaitan Quintero G, Montoya Jaramillo M. Mielopatía espondilótica cervical como un imitador de accidente cerebrovascular. Rev Ecuat Neurol. 2020 [acceso: 25/04/2022]; 29(2):107-9. Disponible en: http://scielo.senescyt.gob.ec/scielo.php?script=sci_arttext&pid=S2631-25812020000200107&lng=es

7. Alcocer Guadalupe F, Moheno Gallardo AJ, Elizalde Martínez E, Rojano Mejía D, López-Martínez E, González Andrade KG, et al. Asociación de depresión y resultados funcionales en pacientes tratados quirúrgicamente por mielopatía espondilótica cervical mediante abordaje anterior. Cir. Cir. 2021 [acceso: 25/04/2022]; 89(5):657-63. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2021000500657&lng=es

8. Milhorat TH, Johnson RW, Milhorat RH, Capocelli AL Jr, Prevsner PH. Clinicopathological correlations in syringomyelia using axial magnetic resonance imaging. Neurosurgery. 1995 [acceso: 19/03/2023]; 37(2):206-13. Disponible en: https://pubmed.ncbi.nlm.gov/7477770/

9. Taylor Martínez MA, Muñoz Romero I, de Leo Vargas R. Siringomielia secundaria a hernia de disco cervical. Rev Med MD. 2019 [acceso: 12/04/2022]; 11(1):50-50. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=94265

10. Cedeño W, Mora H, Castañeda J, Sola J, Criollo J, Torres L, et al. Arnold Chiari tipo I y siringomielia en el adulto. INSPILIP. 2021 [acceso: 12/04/2022]; 2(1):9. Disponible en: https://www.inspilip.gob.ec/index.php/inspi/article/view/88

11. Giner J, Pérez López C, Hernández B, Gómez de la Riva Á, Isla A, Roda JM. Siringomielia no secundaria a Chiari. Actualización en fisiopatología y manejo. Neurología. 2019 [acceso: 12/04/2022]; 34(5):318-25. Disponible en: https://www.sciencedirect.com/science/article/pii/S021348531630216X

12. Galeiras Vázqueza R, Ferreiro Velascob M.E ,Mourelo Fariñaa M, Montoto Marqués A, Salvador de la Barrera S. Actualización en lesión medular aguda postraumática. Parte 1. Med Intensiva. 2017 [acceso: 12/04/2022]; 41(4):237-47. Disponible en: https://www.medintensiva.org/es-actualizacion-lesion-medular-aguda-postraumatica--articulo-S021056911630239X

13. Noguésa M A, Benarrochb E. Alteraciones del control respiratorio y de la unidad motora respiratoria. Neurol Arg. 2011 [acceso: 13/04/2022]; 3(3):167-75. Disponible en: https://www.elsevier.es/es-revista-neurologia-argentina-301-articulo-alteraciones-del-control-respiratorio-unidad-S1853002811000152

14. García Leonard J. I, Sánchez Lozano A, Valladares Valle M. Siringomielia asociada a malformación de Chiari tipo I. Informe de caso. Medisur. 2020 [acceso: 12/04/2022]; 18(6):[aprox. 5 p.]. Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/4670

15. Rahimizadeh A, Almirzadeh M, Azadeh A. Syrinx associated with cervical spondylosis: A report of 13 cases. Surgical Neurology International. 2022 [acceso: 19/02/2023]; 13:315. Disponible en: https://surgicalneurologyint.com/surgicalint-articles/syrinx-associated-with-cervical-spondylosis-a-report-of-13-cases/

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Published

2023-06-20

How to Cite

1.
Hernández Carulla D, Santaelena Berro JD, Cuevas Rodríguez CA. Syringomyelia associated with cervical spondylotic myelopathy. Rev Cubana Med Milit [Internet]. 2023 Jun. 20 [cited 2025 Jan. 8];52(3):e02302787. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2787

Issue

Vol. 52 No. 3 (2023): July - september

Section

Case Presentation

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