Doctor insights on:
Medicine For Syringomyelia
SYringomyelia: Syringomyelia can be a congential issue or from a post-traumtic injury. The central neuropatic pain can be addressed in a number of ways depending on the nature of the syrinx. It would be best to see a neurosurgeon who specializes in this in order to determine what is the best course of treatment. ...Read more
Cavity: A syrinx is a tube. Syringomyelia means a tubelike defect in the spinal cord, usually in the center, filled with fluid. Any segment of spinal cord can be affected. Discontinuous segments can be affected. Most common causes include developmental defects, trauma, chiari malformation, tumor, vascular malformations. Symptoms may range from none to severe sensory and balance issues. ...Read more
Idiopathic: Unfortunately, idiopathic means "unknown cause". While the cause may not have been adequately worked up yet (in which case it may be premature to call it idiopathic), if you have had an extensive workup and very smart people have looked at the studies, then the cause will likely remain a mystery for now. ...Read more
No answer possible: What sort of exercises you can do, whether they will help or make things worse, will be determined by where the cyst is, how badly it impinges on the cord, how large it is, etc. You need to discuss this with your neurosurgeon. You can not get a good answer from someone who is not familiar with you and your specific condition. ...Read more
Most people have no symptoms.
Those who do have symptoms experience pain, burning, numbness.
Some people can even experience weakness. ...Read more
Hand and legs: May have pain. Numbness inter hands. A progressive enlargement may result in leg weakness and urinary difficulties. ...Read more
Hole in spinal cord:
They can occur spontaneously, with trauma, tumors, or other conditions.
Most cause no problems or symptoms and are found incidentally. ...Read more
Yes: A spinal syrinx (hole of fluid within the spinal cord) can be a distant result of a previous spinal cord trauma. But if you do have a spinal cord syrinx, it is important to assure that you do not have several of the causes of syrinx, including chiari malformation, spinal cord tumors, etc. Please see your doctor for full workup (to include spinal mri's with contrast). ...Read more
Pts w/ syringomyelia: when researched, 99% of pts, had same complaints of pain, severity, location, yet the vast majority of drs, say pain unrelated?
See your doctor: Each of these cases is unique, and we need to be concerned about your specifics. If you are not getting any answers, get a second or third opinion. ...Read more
Pts w/ syringomyelia, majority of drs say sm causes no pain, if a something foreign is centered in the cord, logically, how no pain? 1 of 2 questions.
Syrinx or cord canal: It depends. If it is a enlarged central canal and the fluid does not break into the cord tissue, then there may be no pain. If the central pain pathways are very stretched by a large dilated central canal, or, if the fluid has broken through the central canal wall and collected in the cord tissue, pain can range from mild to severe. Image shows a dilated central canal and not a true syrinx. ...Read more
Fix the cause: Usually the surgery is meant to address the cause of the syringomyelia which is an expression or the result of another abnormality. That could be a structural problem with the brain or spinal cord, a compression or a tumor. In general the idea is to then wait and see if the syrinx goes away, only in select cases surgery for the syrinx itself is recommended ...Read more
Syringomyelia: This is an abnormal dilation of the usually very small column of spinal fluid that runs through the center of the spinal cord. It can also extend into the brainstem (syringobulbia). Most commonly, it is caused by trauma. However, tumors and developmental problems (chiari, tethered cord) need to be ruled out. Unless there is a structural cause, they usually do not require treatment. ...Read more
Yes: If the syrinx is causing significant symptoms, it can be drained with a shunt to either just outside the spinal cord or to another part of the body. Please note that if the syrinx is being caused by something such as a tumor or chiari malformation, that condition should be treated first. Often the syrinx will go away without direct treatment if the condition causing it is successfully treated. ...Read more
Spinal cord fluid: Hydromelia means an abnormal collection of fluid within the spinal cord & connected to 4th ventricle within the brain and usually associated with hydrocephalus (xs fluid within the brain). Syringomyelia is also a collection of fluid, like an elongated cyst, in the center of the spinal cord itself, but does not communicate with any other fluid filled spaces, & can also lead to loss of nerve functio. ...Read more
Response: Hope it turns out well. If you are unsure, get a second neurosurgical opinion. There are some surgeons who have loads of experience in this area, so, you might prefer a respected, skillful practitioner, who has performed many such procedures. ...Read more
Syringomyelia: There is no documented evidence that this is the case but having said that I have had patients note that the milder weather changes, those without significant temperature changes do note they have less problems. ...Read more
Spinal cord problems: Syringomyelia is a cavity of fluid within the spinal cord. It is not always symptomatic. It is most commonly present without an obvious cause but may be related to trauma, infection, hindbrain abnormalities, and tumors. It presents with weakness or numbness of the arms or legs, gait difficulties, pain in the extremities, scoliosis, ataxia, or atrophy. Signs include in addition, reflex changes. ...Read more
Many: Walking changes, unsteady gait, writing changes, difficulty with small object manipulation like buttoning buttons, zipping zippers, tying your shoes. ...Read more
No: Not that I am aware of.Get a more detailed answer ›