Disease pathophysiology: Syningomtelia is a rare disorder where cyst (fluid filled cavity or syrinx) is formed in the within the spinal cord, if it is left untreated then it may also elongates over time and destroys the spinal cord. Normally damage to the spinal cord leads loss of sensation in hands. Some patients may even experience paralysis either temporarily or permanently and the symptoms are headaches, a loss of the ability to feel extremes of hot or cold (especially in the hands), and loss of bladder and other functions.
Treatment: The first and the best treatment for the Syningomtelia is surgery of the spinal cord. Surgery is not always recommended but sometimes radiation and analgesia is also used. To diagnose the disease diagnostics tests usually preferred are magnetic resonance imaging (MRI), MRI is the most reliable diagnostic tool for syringomyelia. In the past, a computer tomography (CT) scan or myelogram, which uses X-ray images with a constrast dye, were used to diagnose the disorder. Since the invention of the MRI, it is considered the gold standard for diagnosing syringomyelia.
Statists: Excluding syringomyelia due to Chiari malformation, spinal cord injury, and tumors, 32 patients (mean age 44 years) were operated on between 1995 and 2013 and followed up for a mean of 53.8 months. Presumed causes at diagnosis, clinical and radiological findings, type of operation, clinical and radiological outcome were reviewed.