A patient suffered from paraplegia of T-10 level at age 29, and he complained of new symptoms in the upper limbs at age 42. Gradual ascending worsening occurred, and the diagnosis of post-traumatic syringomyelobulbia was made 23 years after the initial accident. CT scan with metrizamide transit at the medulla level confirmed the diagnosis. Definite clinical improvement was seen after syringo-peritoneal shunting. Clinical, radiological and therapeutic aspects are briefly discussed.
E Roullet, J Philippon, R Marteau, F Lhermitte. Late syringomyelobulbia complicating spinal cord injury. Improvement after syringoperitoneal shunt]. Revue neurologique. 1985;141(5):417-9
PMID: 4048733
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