• Hiroshi Yokota, Ryo Tamaki, Tadashi Sugimoto, Kaoru Horiuchi, Kosuke Mori, Seisuke Miyamae, Takahide Yaegaki, Haku Tanaka, and Jun-Ichi Iida.
• Department of Neurosurgery, Osaka General Medical Center, Osaka, Japan. Electronic address: hyokota0001@gmail.com.
• World Neurosurg. 2020 Aug 1; 140: 96-100.

BackgroundCommunicating syringomyelia can develop in association with hydrocephalus, with communication between syringomyelia and the fourth ventricle a representative neuroimaging finding.Case DescriptionA 51-year-old woman presented with slowly progressive bladder dysfunction and scoliosis. She had a nonfunctioning cerebrospinal fluid shunt that had been placed after birth for neonatal hydrocephalus. Tetraventricular enlargement and a holocord syrinx were noted in neuroimaging findings, while phase contrast magnetic resonance imaging and ventriculography revealed communication between the syrinx and fourth ventricle via a dilated central canal. Placement of a de novo ventriculoperitoneal shunt led to collapse of the syringomyelia, though apparent improvement of clinical symptoms was not obtained.ConclusionsCommunicating syringomyelia can develop as a late complication in patients with shunted hydrocephalus. In the majority of reported cases, shunt revision has been shown to be effective, though some cases require posterior fossa decompression and exploration.Copyright © 2020 Elsevier Inc. All rights reserved.

19 keywords...

hide…