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. 2017 Apr;78(2):e59–e67. doi: 10.1055/s-0037-1601327

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.