{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T19:56:36Z","timestamp":1772826996625,"version":"3.50.1"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nPost-traumatic syringomyelia (PTS) is an uncommon complication of spinal cord injury (SCI) characterized by development of a fluid filled cavity in the spinal cord parenchyma. Presentation involves pain, weakness, and abnormal reflexes. There are few known triggers for disease progression. We present a case of symptomatic PTS that appears to have been triggered by parathyroidectomy.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 42-year-old female with a distant history of SCI developed clinical and imaging findings consistent with acute expansion of PTS immediately following parathyroidectomy. Her symptoms included acute numbness, tingling, and pain in both arms. Magnetic resonance imaging (MRI) revealed a syrinx in the cervical and thoracic spinal cord. However, this was initially misdiagnosed as transverse myelitis and was treated as such without resolution of symptoms. Over the following 6 months, the patient experienced progressive weakness. Repeat MRI demonstrated expansion of the syrinx with new involvement of the brain stem. The patient was diagnosed with PTS and referred for outpatient neurosurgery evaluation at a tertiary facility. Treatment was delayed due to problems with housing and scheduling at the outside facility, allowing for continued worsening of her symptoms. The syrinx was surgically drained and a syringo-subarachnoid shunt was placed. Follow-up MRI confirmed correct placement of the shunt as well as resolved syrinx and decreased thecal sac compression. The procedure effectively halted symptom progression but did not resolve all symptoms completely. The patient has regained her ability to perform much of her activities of daily living but remains in a nursing home facility.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThere are currently no cases of PTS expansion following non-central nervous system surgery reported in the literature. The reason for PTS expansion following parathyroidectomy in this case is unknown but may highlight the need for extra caution when intubating or positioning a patient with a history of SCI.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_30_2023","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T06:54:41Z","timestamp":1684479281000},"page":"178","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rapid expansion of post traumatic syringomyelia following parathyroidectomy: A case report and review of the literature"],"prefix":"10.25259","volume":"14","author":[{"given":"Hunter A.","family":"O\u2019Connor","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul F.","family":"Thanel","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shouri K.","family":"Dirks","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul R.","family":"Alchaki","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,5,19]]},"reference":[{"key":"10.25259\/SNI_30_2023\/ref-1","first-page":"970","article-title":"Posttraumatic syringomyelia associated with heavy weightlifting exercises: Case report","volume":"69","author":"Balmaseda","year":"1988","journal-title":"Arch Phys Med Rehabil"},{"key":"10.25259\/SNI_30_2023\/ref-2","doi-asserted-by":"crossref","first-page":"S245","DOI":"10.1097\/BRS.0b013e3181f32e9c","article-title":"Surgical management of post-traumatic syringomyelia","volume":"35","author":"Bonfield","year":"2010","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_30_2023\/ref-3","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/S0967-5868(02)00326-0","article-title":"Post-traumatic syringomyelia: A review","volume":"10","author":"Brodbelt","year":"2003","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_30_2023\/ref-4","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1097\/01.brs.0000162277.76012.0b","article-title":"Post-traumatic syringomyelia: A review of the cases presenting in a regional spinal injuries unit in the north east of England over a 5-year period","volume":"30","author":"Carroll","year":"2005","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_30_2023\/ref-5","first-page":"694","article-title":"Severe exacerbation of post traumatic syringomyelia after lithotripsy. Case report","volume":"32","author":"Di Lorenzo","year":"1994","journal-title":"Paraplegia"},{"key":"10.25259\/SNI_30_2023\/ref-6","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1038\/sc.2015.218","article-title":"The characteristics of posttraumatic syringomyelia","volume":"54","author":"Krebs","year":"2016","journal-title":"Spinal Cord"},{"key":"10.25259\/SNI_30_2023\/ref-7","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1136\/jnnp.60.1.61","article-title":"Post-traumatic syringomyelia (cystic myelopathy): A prospective study of 449 patients with spinal cord injury","volume":"60","author":"Schurch","year":"1996","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.25259\/SNI_30_2023\/ref-8","first-page":"296","article-title":"Post-traumatic syringomyelia, an update","volume":"28","author":"Williams","year":"1990","journal-title":"Paraplegia"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/rapid-expansion-of-post-traumatic-syringomyelia-following-parathyroidectomy-a-case-report-and-review-of-the-literature\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/rapid-expansion-of-post-traumatic-syringomyelia-following-parathyroidectomy-a-case-report-and-review-of-the-literature\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T06:54:47Z","timestamp":1684479287000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/rapid-expansion-of-post-traumatic-syringomyelia-following-parathyroidectomy-a-case-report-and-review-of-the-literature\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,19]]},"references-count":8,"alternative-id":["10.25259\/SNI_30_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_30_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,5,19]]},"article-number":"178"}}