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Neurological examination and neurophysiological testing confirmed the presence of thoracic myelopathy, which may have been due to the wire tethering the thoracic spinal cord to the dorsal dura. This case is believed to be the only long-term report of the effects of the Echols procedure. The history of direct treatment of syringomyelia is reviewed and is contrasted with indirect treatment of syringomyelia, which relieves the condition by opening obstructed CSF pathways within the foramen magnum or spine.<\/jats:p>","DOI":"10.3171\/2008.10.spi08291","type":"journal-article","created":{"date-parts":[[2009,1,2]],"date-time":"2009-01-02T20:52:36Z","timestamp":1230929556000},"page":"73-78","source":"Crossref","is-referenced-by-count":1,"title":["Long-term result of the Echols procedure for treating syringomyelia"],"prefix":"10.3171","volume":"10","author":[{"given":"Matthew M.","family":"Peterson","sequence":"first","affiliation":[{"name":"Surgical Neurology Branch and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liviu","family":"Craciun","sequence":"additional","affiliation":[{"name":"Electromyography Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D.","family":"Heiss","sequence":"additional","affiliation":[{"name":"Surgical Neurology Branch and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0010073","series-title":"J Nerv Ment Dis","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1097\/00005053-189207000-00003","article-title":"Syringomyelia, operation, exploration of cord, withdrawal of fluid, exhibition of patient","volume":"17","author":"Abbe","year":"1892"},{"key":"b2-0010073","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.nec.2007.04.001","article-title":"Tethered cord syndrome","volume":"18","author":"Agarwalla","year":"2007"},{"key":"b3-0010073","series-title":"Acta Neurol Scand","first-page":"472","article-title":"The natural history and the influence of surgical treatment in syringomyelia","volume":"71","author":"Anderson","year":"1985"},{"key":"b4-0010073","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.1136\/jnnp.2003.026674","article-title":"Effects of surgery on the sensory deficits of syringomyelia and predictors of outcome: a long term prospective study","volume":"75","author":"Attal","year":"2004"},{"key":"b5-0010073","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"531","DOI":"10.3171\/jns.1984.61.3.0531","article-title":"Surgical treatment of syringomyelia. 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