Table 1. Review of literature: Cases of the syrinx in post-TB arachnoiditis with treatment and outcome. For a complete overview of treatment modalities, we also reported two cases of posttraumatic syrinx formation.
Authors | Age and sex | Localization | Etiopathogenesis | Preoperative symptoms | Treatment | Follow-up | Outcome | Complication | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Posttraumatic iatrogenic degenerative | Infection | Motor symptoms | Sensory symptoms | Shunt dislocation | Resolution | Recurrence of syrinx | ||||||
Sharma et al8 | 23, M | Dorsal | MT | Asymmetrical wasting of thenar and hypothenar muscles of both the hands and bilateral foot drop + dissociative sensory loss below C5 level with sparing of posterior column sensations | Full antitubercular chemotherapy | nd | NI | Yes | No | |||
Bhagavathula Venkata et al13 | 54, F | From C4 to C6 | Yes | Wasting of the right forearm + paresthesias in all four limbs + impaired pain and temperature sensation in the right upper limb | Decompressive laminectomy | 3–6 mo | NI | SI | Yes | No | ||
Iwatsuki et al10 | 52, F | From C7 to T7 | Yes | Progressive gait disturbance and sphincter deficiency | Far distal SSS + laminectomies + arachnolisis | 1 y | MI | SI | No | Yes | Asymptomatic large pseudomeningocele | |
73, F | From T8 to L 1 | Yes | Progressive gait disturbance and numbness in lower limbs | No | Yes | No | ||||||
Kim et al6 | 54, M | L1 | Yes | Impairment of motion and position sense on his right side + motor weakness of the right upper extremity | SSS with a T-tube | 6 mo | MI | SI | No | Yes | No | |
Khalid et al5 | 4, M | From T1 to T6 | MT | Acute flaccid paralysis | Laminectomy + midline myelotomy | MI | SI | Yes | no | |||
Ramanathan et al7 | 52, F | From C5 to D6 | MT | Quadriparesis + spasticity a + respiratory failure and bladder + sensory loss could not be assessed at that time | Conservative treatment | nd | MI | SI | Yes | No | ||
Gul et al3 | 21, M | From T11 to L1 | MT | Spastic paraparesis + T10 sensory level + neurogenic bladder | SPtS | 1 mo, 6 mo, 2 y | MI | NI | No | Yes | No | |
Ersoy et al2 | 19, M | From C1 to T6 | MT | Quadriparesis | SPtS | 18 mo | NI | No | No | No | ||
Ohato et al28 | 47, M | From C2 to T2 | MT | Weakness both hands with muscle atrophy + hypalgesia below the level of T4 Sphincter tone depressed. Spastic bladder | Arachnolysis | 1 y | MI | SI | Yes | No | ||
Kaynar et al4 | 30, F | From T3 to T9 | MT | Spastic paraparesis + loss of bladder and bowel control | SSS with a T-tube | 2.5 y | MI | nd | No | Yes | Yes |
Abbreviation: F, female; M, male; MI, motor improvement; MT, mycobacterium tuberculosis; nd, not described; NI, no improvement; SI, sensory improvement; SPtS, syringoperitoneal shunt; SSS, syringosubdural shunt.