Siringomielia: revisão da literatura e relato de caso

Gonik, Renato; Rosso, Ana L. Zuma de; Maranhão Filho, Péricles A.; Novis, Sérgio A. Pereira

doi:10.1590/S0004-282X1990000300019

Resumos

Os autores fazem detalhada revisão da literatura acerca de aspectos históricos, etiopatogênicos, clínicos, diagnósticos e terapêuticos da siringomielia. Apresentam um caso desta enfermidade, cujo diagnóstico foi confirmado por ressonância magnética.

A thorough review of history, pathophysiology, clinical manifestations, diagnosis and treatment of synringomyelia is presented by the authors, followed by a case report in which the diagnosis was confirmed by magnetic resonance imaging.

Renato Gonik^I; Ana L. Zuma de Rosso^II; Péricles A. Maranhão Filho^II; Sérgio A. Pereira Novis^III

^IResidente - Trabalho realizado no Serviço de Neurologia do Hospital Universitário Clementino Fraga Filho da Universidade Federal do Rio de Janeiro (HUCFF-UFRJ)

^IIMédico - Trabalho realizado no Serviço de Neurologia do Hospital Universitário Clementino Fraga Filho da Universidade Federal do Rio de Janeiro (HUCFF-UFRJ)

^IIIChefe de Serviço - Trabalho realizado no Serviço de Neurologia do Hospital Universitário Clementino Fraga Filho da Universidade Federal do Rio de Janeiro (HUCFF-UFRJ)

RESUMO

Os autores fazem detalhada revisão da literatura acerca de aspectos históricos, etiopatogênicos, clínicos, diagnósticos e terapêuticos da siringomielia. Apresentam um caso desta enfermidade, cujo diagnóstico foi confirmado por ressonância magnética.

SUMMARY

A thorough review of history, pathophysiology, clinical manifestations, diagnosis and treatment of synringomyelia is presented by the authors, followed by a case report in which the diagnosis was confirmed by magnetic resonance imaging.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Dr. Renato Gonik - Praia do Flamengo 316 apto. 801 - 22210 Rio de Janeiro RJ - Brasil.

1. Baker JT, Stoll J Jr - Report of a case of syringomyelia complicating pregnancy. Bull School Med Univ Maryland 32:163, 1948.
2. Baudouin A, Sallet J, Departs M - Sur un cas de syringomyelic infantile. Rev Neurol 63:886, 1985.
3. Brage D - Algunos sindromes medulares y su diagnostico con la lepra. Semana Méd (B. Aires) 1213, 1962.
4. Bresnan MJ - Case records of the Massachussetts General Hospital: Case 3. N Engl J Med 316:150, 1987.
5. Bronskill MJ, McVeigh ER, Kucharczyk W, Henkelman RM - Syrinx-like artifacts on MR images of the spinal cord. Radiology 166:485, 1988.
6. Carey EJ - Wave mechanisms of protoplasmic action: XII. Experimental acute traumatic syringomyelia. Arch Path 24:419, 1937.
7. Castillo M, Quencer RM, Green BA, Montalvo BM - Syringomyelia as a consequence of compressive extramedullary lesions: postoperative clinical and radiological manifestations. Am J Radiol 150:391, 1988.
8. Conway LW - Hydrodynamics studies in syringomyelia. J Neurosurg 27:501, 1967.
9. Davison C, Brock S, Goodhart SP - Atherosclerotic myelopathy with syrinx formation: differentiation from other types of syringomyelia. Arch Neurol Psychiat 50:565, 1943.
10. Davison C, Keschner M - Myelitic and myelopathic lesions: VI. Cases with marked circulatory interference and a picture of syringomyelia. Arch Neurol Psychiat 30:1074, 1933.
11. Delherm, Morel-Khan, Desgre Z - La roentgenthérapie dans le traitement de la syringomyelic Presse Méd 38:281, 1930.
12. Di Chiro G, Axelbaum SP, Scheilinger D, Twigg HL, Ledley RS - Computerized axial tomography in syringomyelia. N Engl J Med 292:13, 1975.
13. Ellertsson AB, Greitz T - The distending force in the production of communicating syringomyelia. Lancet 1234, 1970.
14. Elliott BL, Hogan DF - Syringomyelia: case report with discussion of differential diagnosis; paradoxal light reaction. J Nerv Ment Dis 70:129, 1929.
15. Elsberg CA - Surgical Diseases of the Spinal Cord, Membranes and Nerve Roots. Paul B. Hoeber, 1941, pg 551.
16. Foley JM - Sistema nervoso. In Robbins SL (ed): Patologia Estrutural e Funcional. Interamericana, Rio, 1975, pg 1393.
17. Foster JB, Hudgson P, Pearce GW - The association of syringomyelia and congenital cervico-medullary anomalies: pathological evidence. Brain 92:25, 1969.
18. Gardner WJ - Hydrodynamic mechanism of syringomyelia: its relationship to myelocele. J Neurol Neurosurg Psychiat 28:247, 1965.
19. Gardner WJ - The distending force in the production of communicating syringomyelia. Lancet 541, 1969.
20. Guillain G, Rouques L - Sur les rapports d'une vaccination antitiphoidique avec le dévelopement d'une syringomyélie. Rev Neurol 1:745, 1934.
21. Guinon G - Syringomyélie. In Charcot JM (ed): Maladies du Système Nerveux. Traité de Médecine, Vol 4. Masson, Paris, 1894, pg 465.
22. Kirgis HD, Echols DH - Syringo-encephalomyelia: discussion of related syndromes and pathologic processes, with report of a case. J Neurosurg 6:368, 1949.
23. Levaditi C, Lepine P, Schoen R - Contribution expérimentale à 1'étude étiologique de la syringomyelic. Bull Acad Med Paris 101:669, 1929.
24. Levaditi C, Lepine P, Schoen R - Mécanisme pathogénique des formations cavitaires du nevraxe: porencephalic et syringomyélie. Ann Inst Pasteur 43:1465, 1929.
25. Lhermitte J, Beauiard E - Syringomyélic et syndrome ventriculaire à repetition par vaccination antityphique. Rev Neurol 1:556, 1934.
26. Lhermitte J, Nemours A - Syringomyélie avec cheiromégalie: rôle des traumatismes dans les syringomyélics. Rev Neurol 64:714, 1935.
27. Liber AF - The nature of Rosenthal fibers. J Nerv Ment Dis 85:286, 1937.
28. Liber AF, Lisa JR - Rosenthal fibers in non-neoplastic syringomyelia: a note on the pathogenesis of syringomyelia. J Nerv Ment Dis 86:549, 1937.
29. Maciel Z - Siringomielia: a propósito de uma observação. Publ Méd (São Paulo) 19:3, 1947/1948.
30. Marks JH, Livingston KB - The cervical subarachnoid space, with particular reference to syringomyelia and the Arnold-Chiari deformity. Radiology 52:63, 1949.
31. Mcllroy WJ, Richardson JC - Syringomyelia: a clinical review of 75 cases. Canad Med Ass J 93:731, 1965.
32. Morrissey MJ, Reynolds HS - Morvan's disease. Arch Dermat Syph 16:166, 1927.
33. Mueller CR, Sugar SJ - Familial syringomyelia. J Am Med Ass 122:743, 1943.
34. Mulvey BE, Riely LA - Familial syringomyelia and status dysraphicus. Ann Int Med 16:966, 1942.
35. Newton EJ - The distending force in the production of communicating syringomyelia. Lancet 800, 1969.
36. Nurick S, Russel JA, Deck MDF - Cystic degeneration of the spinal cord following spinal cord injury. Brain 93:211, 1970.
37. Fearce JMS - Surgical management of syringomyelia. Br Med J 7:1204, 1981.
38 Pilotti G - Sindrome bulbo-protuberanziale: emianestesia alterna di tipo siringomielico; metà sinistra delia faccia, metà destra del tronco e arti di destra; paresi del facciale inferiore destro; sindrome di Bernard-Horner e sintomi cerebellari a sinistra. Policliaico (Sez Med) 34:624, 1927.
39. Pojunas K, Williams AL, Daniels DL, Haughton VM - Syringomyelia and hydromyelia: magnetic resonance evaluation. Radiology 153:679, 1984.
40. Portugal J, Lopez-Ibor JM - Esquema conceptual de la siringomielia. Rev Clin Esp 95:61, 1964.
41. Potter JM - Syringomyelia temporarily relieved after scalenotomy. Lancet 98, 1948.
42. Roemer EP - Syringomyelia: a clinical evaluation. J Am Med Ass 118:708, 1942.
43. Roger H, Marcorelles J - Syringomyelic: malformations rachidiennes et status disraphicus. Presse Méd 50:723, 1942.
44. Rubin JM, Dohrmann GJ - Intraoperative sonography of the spinal cord. Semin Ultrasound CT MR 6:48, 1985.
45. Saucier J, Cone W-V - Syndrome hyperalgique radiculaire chez un hémi-syringomyélique: échec de la radiothérapie. Disparition postopératoire des algies. Retour de la sensibilité à la douleur avec persistence de la thermoanesthésie. Rev Neurol 1:446, 1930.
46. Syringomyelia and cavities in the cord. Br Med J 759, 1969.
47. Tauber ES, Langworthy OR - A study of syringomyelia and the formation of cavities in the spinal cord. J Nerv Ment Dis 81:245, 1935.
48. Treatment of syringomyelia. Br Med J 15:355, 1971.
49. Wangel G - On the essential nature of hydro and syringomyelia, myelocele, encephalo-cele, hydrocephalus internus and neurinoma, with special reference to syringomyelia. Acta Psychiat Neurol 59(suppl) :88, 1950.
50. Williams B - The distending force in the production of communicating syringomyelia. Lancet 189, 1969.
51. Williams B - The distending force in the production of communicating syringomyelia. Lancet 696, 1969.
52. Williams B - The distending force in the production of communicating syringomyelia. Lancet 41, 1970.
53. Woods W, Pimenta AM - Intramedullary lesions of the spinal cord: a study of sixty-eight consecutive cases. Arch Neurol Psychiat 52:383, 1944.
54. Worster-Drought C, Wakeley CPG, Shafar J - The surgical treatment of syringomyelia. Br J Surg 29:56, 1941.

Siringomtetja revisão da literatura e relato de caso

Syringomyelia: review of the literature and case report

Datas de Publicação

Publicação nesta coleção
26 Maio 2011
Data do Fascículo
Set 1990

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Baker JT, Stoll J Jr - Report of a case of syringomyelia complicating pregnancy. Bull School Med Univ Maryland 32:163, 1948.

[2] 2. Baudouin A, Sallet J, Departs M - Sur un cas de syringomyelic infantile. Rev Neurol 63:886, 1985.

[3] 3. Brage D - Algunos sindromes medulares y su diagnostico con la lepra. Semana Méd (B. Aires) 1213, 1962.

[4] 4. Bresnan MJ - Case records of the Massachussetts General Hospital: Case 3. N Engl J Med 316:150, 1987.

[5] 5. Bronskill MJ, McVeigh ER, Kucharczyk W, Henkelman RM - Syrinx-like artifacts on MR images of the spinal cord. Radiology 166:485, 1988.

[6] 6. Carey EJ - Wave mechanisms of protoplasmic action: XII. Experimental acute traumatic syringomyelia. Arch Path 24:419, 1937.

[7] 7. Castillo M, Quencer RM, Green BA, Montalvo BM - Syringomyelia as a consequence of compressive extramedullary lesions: postoperative clinical and radiological manifestations. Am J Radiol 150:391, 1988.

[8] 8. Conway LW - Hydrodynamics studies in syringomyelia. J Neurosurg 27:501, 1967.

[9] 9. Davison C, Brock S, Goodhart SP - Atherosclerotic myelopathy with syrinx formation: differentiation from other types of syringomyelia. Arch Neurol Psychiat 50:565, 1943.

[10] 10. Davison C, Keschner M - Myelitic and myelopathic lesions: VI. Cases with marked circulatory interference and a picture of syringomyelia. Arch Neurol Psychiat 30:1074, 1933.

[11] 11. Delherm, Morel-Khan, Desgre Z - La roentgenthérapie dans le traitement de la syringomyelic Presse Méd 38:281, 1930.

[12] 12. Di Chiro G, Axelbaum SP, Scheilinger D, Twigg HL, Ledley RS - Computerized axial tomography in syringomyelia. N Engl J Med 292:13, 1975.

[13] 13. Ellertsson AB, Greitz T - The distending force in the production of communicating syringomyelia. Lancet 1234, 1970.

[14] 14. Elliott BL, Hogan DF - Syringomyelia: case report with discussion of differential diagnosis; paradoxal light reaction. J Nerv Ment Dis 70:129, 1929.

[15] 15. Elsberg CA - Surgical Diseases of the Spinal Cord, Membranes and Nerve Roots. Paul B. Hoeber, 1941, pg 551.

[16] 16. Foley JM - Sistema nervoso. In Robbins SL (ed): Patologia Estrutural e Funcional. Interamericana, Rio, 1975, pg 1393.

[17] 17. Foster JB, Hudgson P, Pearce GW - The association of syringomyelia and congenital cervico-medullary anomalies: pathological evidence. Brain 92:25, 1969.

[18] 18. Gardner WJ - Hydrodynamic mechanism of syringomyelia: its relationship to myelocele. J Neurol Neurosurg Psychiat 28:247, 1965.

[19] 19. Gardner WJ - The distending force in the production of communicating syringomyelia. Lancet 541, 1969.

[20] 20. Guillain G, Rouques L - Sur les rapports d'une vaccination antitiphoidique avec le dévelopement d'une syringomyélie. Rev Neurol 1:745, 1934.

[21] 21. Guinon G - Syringomyélie. In Charcot JM (ed): Maladies du Système Nerveux. Traité de Médecine, Vol 4. Masson, Paris, 1894, pg 465.

[22] 22. Kirgis HD, Echols DH - Syringo-encephalomyelia: discussion of related syndromes and pathologic processes, with report of a case. J Neurosurg 6:368, 1949.

[23] 23. Levaditi C, Lepine P, Schoen R - Contribution expérimentale à 1'étude étiologique de la syringomyelic. Bull Acad Med Paris 101:669, 1929.

[24] 24. Levaditi C, Lepine P, Schoen R - Mécanisme pathogénique des formations cavitaires du nevraxe: porencephalic et syringomyélie. Ann Inst Pasteur 43:1465, 1929.

[25] 25. Lhermitte J, Beauiard E - Syringomyélic et syndrome ventriculaire à repetition par vaccination antityphique. Rev Neurol 1:556, 1934.

[26] 26. Lhermitte J, Nemours A - Syringomyélie avec cheiromégalie: rôle des traumatismes dans les syringomyélics. Rev Neurol 64:714, 1935.

[27] 27. Liber AF - The nature of Rosenthal fibers. J Nerv Ment Dis 85:286, 1937.

[28] 28. Liber AF, Lisa JR - Rosenthal fibers in non-neoplastic syringomyelia: a note on the pathogenesis of syringomyelia. J Nerv Ment Dis 86:549, 1937.

[29] 29. Maciel Z - Siringomielia: a propósito de uma observação. Publ Méd (São Paulo) 19:3, 1947/1948.

[30] 30. Marks JH, Livingston KB - The cervical subarachnoid space, with particular reference to syringomyelia and the Arnold-Chiari deformity. Radiology 52:63, 1949.

[31] 31. Mcllroy WJ, Richardson JC - Syringomyelia: a clinical review of 75 cases. Canad Med Ass J 93:731, 1965.

[32] 32. Morrissey MJ, Reynolds HS - Morvan's disease. Arch Dermat Syph 16:166, 1927.

[33] 33. Mueller CR, Sugar SJ - Familial syringomyelia. J Am Med Ass 122:743, 1943.

[34] 34. Mulvey BE, Riely LA - Familial syringomyelia and status dysraphicus. Ann Int Med 16:966, 1942.

[35] 35. Newton EJ - The distending force in the production of communicating syringomyelia. Lancet 800, 1969.

[36] 36. Nurick S, Russel JA, Deck MDF - Cystic degeneration of the spinal cord following spinal cord injury. Brain 93:211, 1970.

[37] 37. Fearce JMS - Surgical management of syringomyelia. Br Med J 7:1204, 1981.

[38] 38 Pilotti G - Sindrome bulbo-protuberanziale: emianestesia alterna di tipo siringomielico; metà sinistra delia faccia, metà destra del tronco e arti di destra; paresi del facciale inferiore destro; sindrome di Bernard-Horner e sintomi cerebellari a sinistra. Policliaico (Sez Med) 34:624, 1927.

[39] 39. Pojunas K, Williams AL, Daniels DL, Haughton VM - Syringomyelia and hydromyelia: magnetic resonance evaluation. Radiology 153:679, 1984.

[40] 40. Portugal J, Lopez-Ibor JM - Esquema conceptual de la siringomielia. Rev Clin Esp 95:61, 1964.

[41] 41. Potter JM - Syringomyelia temporarily relieved after scalenotomy. Lancet 98, 1948.

[42] 42. Roemer EP - Syringomyelia: a clinical evaluation. J Am Med Ass 118:708, 1942.

[43] 43. Roger H, Marcorelles J - Syringomyelic: malformations rachidiennes et status disraphicus. Presse Méd 50:723, 1942.

[44] 44. Rubin JM, Dohrmann GJ - Intraoperative sonography of the spinal cord. Semin Ultrasound CT MR 6:48, 1985.

[45] 45. Saucier J, Cone W-V - Syndrome hyperalgique radiculaire chez un hémi-syringomyélique: échec de la radiothérapie. Disparition postopératoire des algies. Retour de la sensibilité à la douleur avec persistence de la thermoanesthésie. Rev Neurol 1:446, 1930.

[46] 46. Syringomyelia and cavities in the cord. Br Med J 759, 1969.

[47] 47. Tauber ES, Langworthy OR - A study of syringomyelia and the formation of cavities in the spinal cord. J Nerv Ment Dis 81:245, 1935.

[48] 48. Treatment of syringomyelia. Br Med J 15:355, 1971.

[49] 49. Wangel G - On the essential nature of hydro and syringomyelia, myelocele, encephalo-cele, hydrocephalus internus and neurinoma, with special reference to syringomyelia. Acta Psychiat Neurol 59(suppl) :88, 1950.

[50] 50. Williams B - The distending force in the production of communicating syringomyelia. Lancet 189, 1969.

[51] 51. Williams B - The distending force in the production of communicating syringomyelia. Lancet 696, 1969.

[52] 52. Williams B - The distending force in the production of communicating syringomyelia. Lancet 41, 1970.

[53] 53. Woods W, Pimenta AM - Intramedullary lesions of the spinal cord: a study of sixty-eight consecutive cases. Arch Neurol Psychiat 52:383, 1944.

[54] 54. Worster-Drought C, Wakeley CPG, Shafar J - The surgical treatment of syringomyelia. Br J Surg 29:56, 1941.