Table 2. Review of recent case series of postinfectious syringomyelia and treatment modalities.
| Authors | Patients (N) | Sex | Age (median) | Localization | Etiopathogenesis | Preoperative symptoms | Treatment | Follow-up | Outcomes | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tumoral | Malformative | Posttraumatic/iatrogenic | Infectious | Unknown | Motor symptoms | Sensory symptoms | Shunt dislocation/complication | Resolution of syrinx | Recurrence of syrinx | Reoperation | ||||||||
| Fan et al23 | 26 | M 16 F 10 |
41.5 | From C to T levels | 12 | 6 | 5 | 3 | nd | SPS | 16–53 mo | 25 MI, 1 NI | 1 shunt infection | 24 | No | 1 | ||
| Soo et al22 | 5 | M 1 F 5 |
42.4 | From C to T levels | 2 | 4 | Intractable pain + motor weakness | Silastic wedge SSS | 3–36 mo | 5 MI (3–6 of postarachnoiditis) | No | Yes | No | |||||
| Isik et al19 | 44 | 9.1 | nd | 32 | 12 (primary medullar cavitation) | nd | 21 PCF + SPS and 21 only SPS | 1–17 y | 6 NI, 5 MD, 39 MI | NI | 2 shunt migration, 1 misplacement, 1 tethering, 1 CSF overdrainage | 4 + (3 SPS only required PCFD) | ||||||
| Mauer et al33 | 28 | M 15 F 13 |
42 | nd | 6 | 1 (bacterial meningitis) | 21 | Progressive neurological deterioration | Endoscopic arachnolysis | 1 wk–2 y | 1 MD | 1 SD | nd | 18/22 | 04/28 | 3 | ||
| Oluigbo et al20 | 22 | M 14 F 5 |
48 | nd | 2 (hemangioblastoma) | 5 | 5 | 1 (bacterial meningitis) | 6 | nd | LPS + PCFD for CM | 3–51 mo (3 lost follow-up) | 5 MI (3–6 of postarachnoiditis) | nd | No | 2 | nd | 6 with SPS or SSS |
| Colak et al29 | 8 | M 5 F 3 |
32 | C | CM | nd | nd | nd | nd | PCFD + SSS | 12 mo | MI | 7 SI, 1 NI | No | ||||
| Koyanagi et al9 | 15 | M 6 F 9 |
46.9 | From C to T levels | 4 | 6 MT + 3 ndd | 2 | 13 tetraparesis + 2 paraparesis (5 complete motor and sensory paralysis of legs) | 10 SPtS, 3 SSS, 2 VPS | 1 mo–10 y | 9 MI, 1 NI, 5 MD | 2 SD, 13 SI | No | 9 | 5 unchanged or enlarged syrinx | 4 SPtS + 2 LPS + 2 SSS | ||
Abbreviations: C, cervical; CSF, cerebrospinal fluid; CM, Chiari malformation; F, female; LPS, lumbo-perotonea shunt; M, male; MD, motor deterioration; MI, motor improvement; nd, not described; NI, no improvement; ndd, not define diagnosis; PCFD, posterior cranial fossa decompresion; SD, sensory deterioration; SI, sensory improvement; SPS, sub-pleural shunt; SPtS, syringoperitoneal shunt; SSS, syringosubdural shunt; T, thoracic; VPS, ventriculoperitoneal shunt.