Siringohidromielografia incidental: registro de um caso

Teixeira, Manoel Jacobsen; Zaclis, José; Leitão Filho, Hélio A. Pereira; Salles, Antonio F. Yunes; Almeida, Gilberto Machado de

doi:10.1590/S0004-282X1982000200005

Resumos

É relatado o caso de doente de 5 anos de idade, com siringomielia no qual a administração de contraste, destinado a exame perimielográfico, foi realizado incidentalmente, no interior da cavidade siringomiélica. São considerados alguns aspectos relativos aos métodos diagnósticos dessa entidade.

The radiological findings of syringomyelography are described in a five years old patient who underwent a percutaneous injection of opaque contrast mediun (Lipiodol) into the intraspinal syringomyelic cavity. The clinical picture, the usual diagnostic methods and the place of syringomyelography for the diagnosis of syringomielia are discussed.

Siringohidromielografia incidental: registro de um caso

Syringomyelography: a case report

Manoel Jacobsen Teixeira^I; José Zaclis^II; Hélio A. Pereira Leitão Filho^III; Antonio F. Yunes Salles^IV; Gilberto Machado de Almeida^II

^IAssistente. Clínica Neurológica da FMUSP

^IILivre Docente. Clínica Neurológica da FMUSP

^IIINeurorradiologista. Clínica Neurológica da FMUSP

^IVResidente. Clínica Neurológica da FMUSP

RESUMO

É relatado o caso de doente de 5 anos de idade, com siringomielia no qual a administração de contraste, destinado a exame perimielográfico, foi realizado incidentalmente, no interior da cavidade siringomiélica. São considerados alguns aspectos relativos aos métodos diagnósticos dessa entidade.

SUMMARY

The radiological findings of syringomyelography are described in a five years old patient who underwent a percutaneous injection of opaque contrast mediun (Lipiodol) into the intraspinal syringomyelic cavity. The clinical picture, the usual diagnostic methods and the place of syringomyelography for the diagnosis of syringomielia are discussed.

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Trabalho da Clínica Neurológica da FMUSP.

Clínica Neurológica - Faculdade de Medicina da USP - Caixa Postal S0657 - 01000 São Paulo, SP - Brasil.

1. ABOULKER, J. - La syringomyélie et les liquides intra-rachidiens: syringomyélie, deux conceptions. Neurochirurgie 25, supp 1:9, 1979.
2. ANDERSON, H.; CARLSSON, C. A. & ROSENGRAN, K. - A radiological study of the central canal in the meningomyelocele. Med. Child. Neurol. 13:96, 1967.
3. APPLEBY, A.; BRADLEY, W. G.; FOSTER, J. B.; HANKINSON, J. & HUDGSON, P. - Syringomyelia due to chronic aracnoiditis at the foramen magnum. J. Neurol. Sci. 8:451, 1969.
4. BALLANTINE, H. T. Jr.; OJEMAN, R. G. & DREW, J. H. - Syringohydromielia. Prog. Neurol. Surg. 4:227, 1971.
5. BARNETT, H. J. M. & JOUSSE, A. T. - Syringomyelia as late sequel to traumatic paraplegia in quadriplegia: clinical features in syringomyelia. In Syringomyelia - H. J. M. Barnett, J. B. Foster & P. H. Hudgson, editores. W. B. Saunders Co. Ltd., London-Philadelphia-Toronto, 1973, cap. 10, pgs. 129-153.
6. BOOTH, A. E. & KENDALL, B. E. - Percutaneous aspiration of cystic lesions of the spinal cord. J. Neurosurg. 33:140, 1970.
7. CHATEL, M.; ODER, J.; SACRABIN, J. M.; SABOURAUD, O.; PECKER, J. & SIMON, J. - Le syndrome syringomyélie. Rev. Neurol. (Paris): 128-172, 1973.
8. CONWAY, L. W. - Hdrodynamic studies in syringomyelia. J. Neurosurg. 27:501, 1967.
9. CUSICK, J. F.; HAUGHTON, V. M. & WILLIAMS, A. L. - Radiological assessment of intramedullary spinal cord lesions. Neurosurgery. 4:216, 1979.
10. DEBRUN, G.; DOYON, D.; LEFEBVRE, J. & LEPINTRE, J. - Opacification fortuite du canal ependimaire lors d'une iodoventriculographie. Prèsse Méd. 72:239, 1964.
11. DICHIRO, G.; AXEELBAUM, S. P.; SCHALLINGER, D.; TWIGG, H. L. & LEDLEY, R. S. - Computerized axial tomography in syringomyelia. N. Engl. J. Med. 292:13, 1975.
12. ELLERTSSON, A. B. - Semiological diagnosis of syringomyelia related to roentgenologic findings. Acta. Neurol. Scand. 45:385, 1969.
13. ELLERTSSON, A. B. - Syringomyelia and other cystic spinal cord lesions. Acta Neurol. Scand. 45:403, 1969.
14. ELLERTSSON, A. B. & GREITZ, T. - Myelocystographic and fluorescein studies to demonstrate comunication between intramedullary cysts and CSF space. Acta Neurol. Scand. 45:418, 1969.
15. FOSTER, J. B. & HUDGSON, P. - The radiology of comunicating syringomyelia. In Syringomyelia - H. J. M. Barnett, J. B. Foster & P. H. Hudgson, editores. W. B. Saunders Co. Ltd., London-Philadelphia-Toronto, 1973, cap. 5, pgs. 50-63.
16. GARDNER, W. J. & ANGEL, J. - The mechanism of syringomyelia and its surgical correction. Clin. Neurosurg. 6:131, 1958.
17. GARDNER, W. J. - Hydrodynamic mechanism of syringomyelia: its relationship to myelocele. J. Neurol. Neurosurg. Psychiat. (London) 28:247, 1965.
18. GARDNER, W. J. - Myelocele: rupture of the neural tube? Clin. Neurosurg. 15:57, 1968.
19. GROFF, R. A. & YASKIN, J. C. - Late occurence of sphincter and other neurological disturbances associated with congenital malformation of the vertebral column. Trans. Am. Neirol. Assoc. 72:218, 1947.
20. HALL, P. V.; CAMPBELL, R. L. & KELBECK, J. E. - Meningomyelocele and progressive hydromyelia: progressive paresis in myelodisplasia. J. Neurosurg. 43:457, 1975.
21. HANKINSON, J. - Proceedings: report on 100 cases of syringomyelia. J. Neurol. Neurosurg. Psychiat. (London) 38:412, 1975.
22. HARWOOD-NASH, D. C. & FITZ, C. R. - Myelography and syringohydromyelia in infancy and childhood. Radiology 113:661, 1974.
23. HEINZ, E. R.; SCHLESINDER, E. B. & POTTS, D. G. - Radiologic signs of hydromyelia. Radiology 86:311, 1966.
24. KEILLER, V. H. - A contribuition to the anatomy of spina bifida. Brain 45:31, 1922.
25. KENDALL, B. & SYMON, L. - Cyst puncture and endomyelography in cystic tumors of the spinal cord. British J. Radiol. 46:198, 1973.
26. LOGUE, V. - Syringomyelia: a radiodiagnostic and radioterapeutic saga. Clin. Radiol. 22:2, 1971.
27. MANALFE, C.; GUIRAUD, B.; ESPAGNO, J. & RESCOL, A. - Computerized cisternography with nietrizamide. Rev. Neurol. (Paris) 134:471, 1978.
28. MARTIN, C. & MAURY, M. - Syndrome syringomyélique aprés paraplégie tra matique. Prèsse Méd. 72:2839, 1964.
29. MCIBOY, W. C. & RICHARDSON, J. C. - Syringomyelia: a clinical review of 75 cases. Canad. Med. Ass. J. 93:731, 1965.
30. MCRAE, D.; DONALD, L. & STANDEN, J. - Roentgenologic findings in syringomyelia and hydromyelia. Am. J. Roentgen. 98:695, 1966.
31. MATSON, D. D. - Congenital spinal defects. Clin. Neurosurg. 8:185, 1969.
32. NETSKY, M. G. - Syringomyelia: a clinico-pathologic study. Arch. Neurol. Psychiat. (Chicago) 70:741, 1953.
33. OSAKA, K.; TANIMURA, T.; HIRAYAMA, A. & MATSUMOTO, S. - Myelomeningocele before birth. J. Neurosurg. 49:711, 1978.
34. PESERICO, L.; ANGIERI, P.; MERLI, G. A.; SONNINOV, V.; FAGLIONI, F. & CANOSSI, G. C. - Combined isotope ventriculography and lumbar myelocysterno-graphy in the diagnosis of communicating syringomyelia. J. Neurosurg. 45:576, 1976.
35. QUENCER, R. M.; TENNER, M. A. & ROTHMAN, L. - Percutaneors spinal cord puncture and myelocystography. Radiology 118:637, 1976.
36. RESJO, I. M. - Computed tomographic metrizamide myelography in syringohydromyelia. Radiology 131:405, 1979.
37. TJADEN, R. J.; ESTHIER, R.; VEZINA, J. L.; MELENÇON, D. - Iodoven-triculography in hydromyelia. J. Canad. Ass. Radiol. 20:265, 1969.
38. TRILLET, M.; JOYEUX, O.; LAPRAS, C; SCHOTT, B. & GIRARD, P. F. - Syndromes medullaires non syringomyéliques et deformité de Chiari. Rev. Neurol. (Paris) 134:507, 1978.
39. TURNBULL, F. A. - Syringomyelia: complications of spina bifida. Brain: 56:304, 1933.
40. VITEK, J. - La punction dorsale thérapeutique et diagnostique des cavités syringomyéliques. Bruxelles Med. 9:311, 1928.
41. VITEK, J. - Nouvelle methode de decompressure et evacuatrice de la cavité syringomyelique par punction faite a son pole inferieur. Prèsse Méd. 80:1-8, 1932.
42. WESTBERG, G. - Gas myelography and percutaneous puncture in the diagnosis of spinal cord cysts. Acta Radiol, suppl. 252:1-67, 1966.
43. WICKBOM, J. & HANAFEE, W. - Soft tissue masses immediately below the foramen magnum. Acta Radiol. 1:647, 1963.

Datas de Publicação

Publicação nesta coleção
16 Ago 2012
Data do Fascículo
Jun 1982

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

[1] 1. ABOULKER, J. - La syringomyélie et les liquides intra-rachidiens: syringomyélie, deux conceptions. Neurochirurgie 25, supp 1:9, 1979.

[2] 2. ANDERSON, H.; CARLSSON, C. A. & ROSENGRAN, K. - A radiological study of the central canal in the meningomyelocele. Med. Child. Neurol. 13:96, 1967.

[3] 3. APPLEBY, A.; BRADLEY, W. G.; FOSTER, J. B.; HANKINSON, J. & HUDGSON, P. - Syringomyelia due to chronic aracnoiditis at the foramen magnum. J. Neurol. Sci. 8:451, 1969.

[4] 4. BALLANTINE, H. T. Jr.; OJEMAN, R. G. & DREW, J. H. - Syringohydromielia. Prog. Neurol. Surg. 4:227, 1971.

[5] 5. BARNETT, H. J. M. & JOUSSE, A. T. - Syringomyelia as late sequel to traumatic paraplegia in quadriplegia: clinical features in syringomyelia. In Syringomyelia - H. J. M. Barnett, J. B. Foster & P. H. Hudgson, editores. W. B. Saunders Co. Ltd., London-Philadelphia-Toronto, 1973, cap. 10, pgs. 129-153.

[6] 6. BOOTH, A. E. & KENDALL, B. E. - Percutaneous aspiration of cystic lesions of the spinal cord. J. Neurosurg. 33:140, 1970.

[7] 7. CHATEL, M.; ODER, J.; SACRABIN, J. M.; SABOURAUD, O.; PECKER, J. & SIMON, J. - Le syndrome syringomyélie. Rev. Neurol. (Paris): 128-172, 1973.

[8] 8. CONWAY, L. W. - Hdrodynamic studies in syringomyelia. J. Neurosurg. 27:501, 1967.

[9] 9. CUSICK, J. F.; HAUGHTON, V. M. & WILLIAMS, A. L. - Radiological assessment of intramedullary spinal cord lesions. Neurosurgery. 4:216, 1979.

[10] 10. DEBRUN, G.; DOYON, D.; LEFEBVRE, J. & LEPINTRE, J. - Opacification fortuite du canal ependimaire lors d'une iodoventriculographie. Prèsse Méd. 72:239, 1964.

[11] 11. DICHIRO, G.; AXEELBAUM, S. P.; SCHALLINGER, D.; TWIGG, H. L. & LEDLEY, R. S. - Computerized axial tomography in syringomyelia. N. Engl. J. Med. 292:13, 1975.

[12] 12. ELLERTSSON, A. B. - Semiological diagnosis of syringomyelia related to roentgenologic findings. Acta. Neurol. Scand. 45:385, 1969.

[13] 13. ELLERTSSON, A. B. - Syringomyelia and other cystic spinal cord lesions. Acta Neurol. Scand. 45:403, 1969.

[14] 14. ELLERTSSON, A. B. & GREITZ, T. - Myelocystographic and fluorescein studies to demonstrate comunication between intramedullary cysts and CSF space. Acta Neurol. Scand. 45:418, 1969.

[15] 15. FOSTER, J. B. & HUDGSON, P. - The radiology of comunicating syringomyelia. In Syringomyelia - H. J. M. Barnett, J. B. Foster & P. H. Hudgson, editores. W. B. Saunders Co. Ltd., London-Philadelphia-Toronto, 1973, cap. 5, pgs. 50-63.

[16] 16. GARDNER, W. J. & ANGEL, J. - The mechanism of syringomyelia and its surgical correction. Clin. Neurosurg. 6:131, 1958.

[17] 17. GARDNER, W. J. - Hydrodynamic mechanism of syringomyelia: its relationship to myelocele. J. Neurol. Neurosurg. Psychiat. (London) 28:247, 1965.

[18] 18. GARDNER, W. J. - Myelocele: rupture of the neural tube? Clin. Neurosurg. 15:57, 1968.

[19] 19. GROFF, R. A. & YASKIN, J. C. - Late occurence of sphincter and other neurological disturbances associated with congenital malformation of the vertebral column. Trans. Am. Neirol. Assoc. 72:218, 1947.

[20] 20. HALL, P. V.; CAMPBELL, R. L. & KELBECK, J. E. - Meningomyelocele and progressive hydromyelia: progressive paresis in myelodisplasia. J. Neurosurg. 43:457, 1975.

[21] 21. HANKINSON, J. - Proceedings: report on 100 cases of syringomyelia. J. Neurol. Neurosurg. Psychiat. (London) 38:412, 1975.

[22] 22. HARWOOD-NASH, D. C. & FITZ, C. R. - Myelography and syringohydromyelia in infancy and childhood. Radiology 113:661, 1974.

[23] 23. HEINZ, E. R.; SCHLESINDER, E. B. & POTTS, D. G. - Radiologic signs of hydromyelia. Radiology 86:311, 1966.

[24] 24. KEILLER, V. H. - A contribuition to the anatomy of spina bifida. Brain 45:31, 1922.

[25] 25. KENDALL, B. & SYMON, L. - Cyst puncture and endomyelography in cystic tumors of the spinal cord. British J. Radiol. 46:198, 1973.

[26] 26. LOGUE, V. - Syringomyelia: a radiodiagnostic and radioterapeutic saga. Clin. Radiol. 22:2, 1971.

[27] 27. MANALFE, C.; GUIRAUD, B.; ESPAGNO, J. & RESCOL, A. - Computerized cisternography with nietrizamide. Rev. Neurol. (Paris) 134:471, 1978.

[28] 28. MARTIN, C. & MAURY, M. - Syndrome syringomyélique aprés paraplégie tra matique. Prèsse Méd. 72:2839, 1964.

[29] 29. MCIBOY, W. C. & RICHARDSON, J. C. - Syringomyelia: a clinical review of 75 cases. Canad. Med. Ass. J. 93:731, 1965.

[30] 30. MCRAE, D.; DONALD, L. & STANDEN, J. - Roentgenologic findings in syringomyelia and hydromyelia. Am. J. Roentgen. 98:695, 1966.

[31] 31. MATSON, D. D. - Congenital spinal defects. Clin. Neurosurg. 8:185, 1969.

[32] 32. NETSKY, M. G. - Syringomyelia: a clinico-pathologic study. Arch. Neurol. Psychiat. (Chicago) 70:741, 1953.

[33] 33. OSAKA, K.; TANIMURA, T.; HIRAYAMA, A. & MATSUMOTO, S. - Myelomeningocele before birth. J. Neurosurg. 49:711, 1978.

[34] 34. PESERICO, L.; ANGIERI, P.; MERLI, G. A.; SONNINOV, V.; FAGLIONI, F. & CANOSSI, G. C. - Combined isotope ventriculography and lumbar myelocysterno-graphy in the diagnosis of communicating syringomyelia. J. Neurosurg. 45:576, 1976.

[35] 35. QUENCER, R. M.; TENNER, M. A. & ROTHMAN, L. - Percutaneors spinal cord puncture and myelocystography. Radiology 118:637, 1976.

[36] 36. RESJO, I. M. - Computed tomographic metrizamide myelography in syringohydromyelia. Radiology 131:405, 1979.

[37] 37. TJADEN, R. J.; ESTHIER, R.; VEZINA, J. L.; MELENÇON, D. - Iodoven-triculography in hydromyelia. J. Canad. Ass. Radiol. 20:265, 1969.

[38] 38. TRILLET, M.; JOYEUX, O.; LAPRAS, C; SCHOTT, B. & GIRARD, P. F. - Syndromes medullaires non syringomyéliques et deformité de Chiari. Rev. Neurol. (Paris) 134:507, 1978.

[39] 39. TURNBULL, F. A. - Syringomyelia: complications of spina bifida. Brain: 56:304, 1933.

[40] 40. VITEK, J. - La punction dorsale thérapeutique et diagnostique des cavités syringomyéliques. Bruxelles Med. 9:311, 1928.

[41] 41. VITEK, J. - Nouvelle methode de decompressure et evacuatrice de la cavité syringomyelique par punction faite a son pole inferieur. Prèsse Méd. 80:1-8, 1932.

[42] 42. WESTBERG, G. - Gas myelography and percutaneous puncture in the diagnosis of spinal cord cysts. Acta Radiol, suppl. 252:1-67, 1966.

[43] 43. WICKBOM, J. & HANAFEE, W. - Soft tissue masses immediately below the foramen magnum. Acta Radiol. 1:647, 1963.