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J Korean Neurol Assoc. 1987;5(2):132-141.
- A Clinical Study of 17 Patients with Syringomyelia
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Choong-Kun Ha, M.D., Jae-Kyu Roh, M.D., Sang-Bok Lee, M.D., Ho-Jin Myung, M.D., Dae-Hee Han, M.D.*, Kee-Hyun Chang, M.D.**
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Department of Neurology, Neurosurgery* & Radiology**, College of Medicine, Seoul National University
- 척수공동증 17예에 대한 임상적 고찰
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하충건, 노재규, 이상복, 명호진, 한대희, 장기현
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서울대학교 신경과, 신경외과, 방사선과.
- Abstract
- Syringomyelia is a relatively uncommon, chronic, slowly progressive, degenerative process characterized by cavitation and gliosis within the substance of the spinal cord and/or the medulla. There have been only a few case reports in Korea.
The authors reviewed 17 patients with syringomyelia diagnosed by delayed
metrizamide spinal CT and/or MR imaging at Seoul National University Hospital from
January, 1983 to June, 1987.
Eleven were male and the age of onset was less than 40 in 16 (mean 23.4). The
mean duration of symptoms was 87.1 months (range 3-276). Clinical features were
similar to classical cases except sphincter involovement and abnormal sweating were
more common in this report. The syrinx cavity which showed dye collection within
spinal cord in delayed metrizamide spinal CT and low signal intensity in T1 weighted
MR imaging was located mainly at cervicothoracic junction.
The causes were the hindbran abnormality in 5, intramedullary cord tumor in 5,
trauma in 3, adhesive arachnoiditis in 1 and unknown in 3.
The cases with sensory dissociation had shorter duration of symptoms than those
without sensory dissociation and showed normal results in SEPs study.
Eleven patients were treated surgically and nine of them improved.
MRI and SEPs are thought to be good aids for the understanding of the
mechanism and course of syringomyelia."
Keywords :
- 초록
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