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J Neurol Neurosurg Psychiatry 2009;80:1043 doi:10.1136/jnnp.2009.172700
  • Neurological picture

Multiseptated post-traumatic cervicothoracic syrinx treated by two anatomically distant syringo-subarachnoid shunts

  1. E A Monaco III,
  2. R M Spiro
  1. Department of Neurological Surgery, University of Pittsburgh Medical Center Presbyterian, Pittsburgh, Pennsylvania, USA
  1. Correspondence to Dr R M Spiro, Department of Neurological Surgery, University of Pittsburgh Medical Center Presbyterian, Suite B-400, 200 Lothrop Street, Pittsburgh, PA 15213, USA; spirorm{at}upmc.edu
  • Accepted 26 January 2009

A 24-year-old man with a history of a complete T5 spinal cord injury requiring acute surgical decompression and stabilisation presented 4 months postinjury with progressive, ascending spinal cord symptoms consisting of upper-extremity weakness, paraesthesias and hypoesthesia. T2-weighted MRI of the cervical and thoracic spine revealed central cystic dilation of the spinal cord (syringomyelia) from C6–T3 (fig 1A). Despite placement and subsequent revision of a T2–3 syringo-subarachnoid shunt with brief symptom resolution, the patient’s …

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