{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:40:24Z","timestamp":1756370424885,"version":"3.44.0"},"reference-count":38,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,16]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>A holocord syringomyelia due to Chiari 1.5 malformation (CM) in a 12-year-old girl was serially imaged with 3 T MRI over 4\u2009years. The serial MRI showed reduction in size of the syrinx, without any surgical intervention or CM improvement, but rather due to spontaneous spinal cord tear. The tear was clearly demonstrated by evidence of flow signal across the tear between syrinx and subarachnoid space at the upper thoracic level. The tear showed spontaneous closure at follow-up. A medullary tear has been described in the adult population as one of the putative causes of spontaneous syringomyelia reduction, but its clear demonstration with modern high-resolution MRI has not been reported in the paediatric population. Moreover, this is the first reported case of syrinx reduction due to spontaneous fissuration in a paediatric patient.<\/jats:p>","DOI":"10.1136\/bcr-2021-246235","type":"journal-article","created":{"date-parts":[[2021,12,21]],"date-time":"2021-12-21T12:25:12Z","timestamp":1640089512000},"page":"e246235","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Syrinx reduction due to spontaneous spinal cord tear: demonstration on 3 T MRI and review of the literature"],"prefix":"10.1136","volume":"14","author":[{"given":"Serena","family":"Staglian\u00f3","sequence":"first","affiliation":[{"name":"Neuroradiology, Ente Ospedaliero Cantonale, Ospedale Regionale Lugano, Neurocentre of Southern Switzerland, Lugano, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Prodi","sequence":"additional","affiliation":[{"name":"Neuroradiology, Ente Ospedaliero Cantonale, Ospedale Regionale Lugano, Neurocentre of Southern Switzerland, Lugano, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Goeggel Simonetti","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital Bern, University of Bern, Bern, Switzerland"},{"name":"Institute of Paediatrics of Southern Switzerland, IPSI, EOC Ospedale San Giovanni Bellinzona, Bellinzona, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Cianfoni","sequence":"additional","affiliation":[{"name":"Neuroradiology, Ente Ospedaliero Cantonale, Ospedale Regionale Lugano, Neurocentre of Southern Switzerland, Lugano, Switzerland"},{"name":"Department of Neuroradiology, Inselspital University Hospital Bern, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,21]]},"reference":[{"key":"2025082800594997000_14.12.e246235.1","doi-asserted-by":"publisher","DOI":"10.1177\/197140091202500513"},{"key":"2025082800594997000_14.12.e246235.2","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1007\/s002340000358","article-title":"Spontaneous drainage in syringomyelia: magnetic resonance imaging findings","volume":"42","author":"Bogdanov","year":"2000","journal-title":"Neuroradiology"},{"key":"2025082800594997000_14.12.e246235.3","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.wneu.2019.07.138","article-title":"Spontaneous resolution of syringomyelia with a 16-year serial magnetic resonance imaging follow-up: a case report and literature review","volume":"130","author":"Yuan","year":"2019","journal-title":"World Neurosurg"},{"key":"2025082800594997000_14.12.e246235.4","doi-asserted-by":"publisher","DOI":"10.3171\/ped.2004.101.2.0179"},{"key":"2025082800594997000_14.12.e246235.5","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1093\/neurosurgery\/6.CN_suppl_1.131","article-title":"The mechanism of syringomyelia and its surgical correction","volume":"6","author":"Gardner","year":"1958","journal-title":"Clin Neurosurg"},{"key":"2025082800594997000_14.12.e246235.6","doi-asserted-by":"publisher","DOI":"10.1177\/014107688007301109"},{"key":"2025082800594997000_14.12.e246235.7","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1994.80.1.0003"},{"key":"2025082800594997000_14.12.e246235.8","doi-asserted-by":"crossref","first-page":"512","DOI":"10.2176\/nmc.46.512","article-title":"Spontaneous resolution of syringomyelia without Chiari Malformation-Case Report-","volume":"46","author":"Ozisik","year":"2006","journal-title":"Neurol Med Chir"},{"key":"2025082800594997000_14.12.e246235.9","doi-asserted-by":"publisher","DOI":"10.1159\/000121379"},{"key":"2025082800594997000_14.12.e246235.10","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1995.82.5.0802"},{"key":"2025082800594997000_14.12.e246235.11","doi-asserted-by":"publisher","DOI":"10.1016\/0006-8993(89)90782-8"},{"key":"2025082800594997000_14.12.e246235.12","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s00381-005-1213-6","article-title":"Spontaneous resolution of isolated Chiari I malformation","volume":"22","author":"Jatavallabhula","year":"2006","journal-title":"Childs Nerv Syst"},{"key":"2025082800594997000_14.12.e246235.13","first-page":"1158","article-title":"Spontaneous resolution of a Chiari I malformation: Mr demonstration","volume":"16","author":"Castillo","year":"1995","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082800594997000_14.12.e246235.14","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B3.11021"},{"key":"2025082800594997000_14.12.e246235.15","doi-asserted-by":"publisher","DOI":"10.1159\/000028760"},{"key":"2025082800594997000_14.12.e246235.16","first-page":"194","article-title":"Spontaneous regression of syringomyelia in Hajdu-Cheney syndrome with severe platybasia. 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