Childs Nerv Syst. 1992 Mar;8(2):97-100.

Scoliosis associated with syringomyelia presenting in children.

Isu T, Chono Y, Iwasaki Y, Koyanagi I, Akino M, Abe H, Abumi K, Kaneda K.

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Department of Neurosurgery, University of Hokkaido School of Medicine, Sapporo, Japan.

Abstract

The clinical presentations and radiological features of scoliosis accompanying syringomyelia were analyzed in 14 cases of syringomyelia associated with a in 14 cases of syringomyelia associated with a Chiari malformation in children. Scoliosis was the initial symptom in 11 out of 16 patients (64%) with syringomyelia and present in 14 (88%) at the initial examination. The scoliosis associated with syringomyelia was characterized by a higher incidence of a single curve (6 cases, 43%) and convexity to the left (7 cases, 50%) than seen in idiopathic scoliosis. The syrinx was shifted to the convex side of scoliosis on the axial section at the middle or lower thoracic level in patients with a single curve, and at the cervical or upper thoracic level in patients with a double curve. The authors think that the scoliosis develops in children as a result of damage done to the anterior horn, which innervates the muscles of the trunk, by an asymmetrically expanded syrinx.

PMID:: 1591754; [PubMed - indexed for MEDLINE]

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