{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T18:45:49Z","timestamp":1782758749832,"version":"3.54.5"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1982,4]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 From 1969 to 1979, 20 patients with syringomyelia were treated with a syringosubarachnoid shunt. The principal indications for this procedure were: significant progressive neurological deterioration and absent or minimal tonsillar ectopia. There were 15 patients with idiopathic syringomyelia, four with posttraumatic syringomyelia, and one with syringomyelia secondary to spinal arachnoiditis. The operations were performed with an operating microscope, and attention was directed to preserving the arachnoid membrane to ensure proper placement of the distal end of the shunt in an intact subarachnoid space. In all cases, a silicone rubber ventricular catheter was inserted into the syrinx through a posterior midline myelotomy.<\/jats:p>\n<jats:p content-type=\"fine-print\">The average follow-up period was 5 years. A favorable result was obtained in 15 of the 20 patients (75%), including an excellent result with improvement of neurological deficit in 11 patients and a good result with cessation of progression in four patients. In the remaining five patients the result was poor with further progression of neurological deficit. A short duration of preoperative symptoms was usually a favorable prognostic feature. Four patients with a history of less than 6 months all had excellent results. Thirteen patients had a syringosubarachnoid shunt only, and all had good or excellent results. Seven patients had other surgical procedures, before, accompanying, or after shunt placement, and two had favorable results. Thus, the syringosubarachnoid shunt is an effective therapeutic modality for many patients with syringomyelia, particularly if there is little or no tonsillar herniation.<\/jats:p>","DOI":"10.3171\/jns.1982.56.4.0517","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:22:44Z","timestamp":1241799764000},"page":"517-523","source":"Crossref","is-referenced-by-count":148,"title":["Favorable results with syringosubarachnoid shunts for treatment of syringomyelia"],"prefix":"10.3171","volume":"56","author":[{"given":"Charles H.","family":"Tator","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kotoo","family":"Meguro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Rowed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Syringomyelia. Major Problems in Neurology","volume":"1","author":"Barnett","year":"1973"},{"key":"b2","series-title":"Lancet","first-page":"1234","article-title":"The distending force in the production of communicating syringomyelia.","volume":"1","author":"Ellertsson","year":"1970"},{"key":"b3","series-title":"Acta Neurochir","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1007\/BF01402063","article-title":"The surgical treatment of syringomyelia. Long-term results.","volume":"44","author":"Faulhauer","year":"1978"},{"key":"b4","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1136\/jnnp.28.3.247","article-title":"Hydrodynamic mechanism of syringomyelia: its relationship to myelocele.","volume":"28","author":"Gardner","year":"1965"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"812","DOI":"10.3171\/jns.1980.52.6.0812","article-title":"Experimental syringomyelia. The relationship between intraventricular and intrasyrinx pressures.","volume":"52","author":"Hall","year":"1980"},{"key":"b6","series-title":"Advances and Technical Standards in Neurosurgery.","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1007\/978-3-7091-7062-5_4","article-title":"The surgical treatment of syringomyelia","volume":"5","author":"Hankinson","year":"1978"},{"key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"258","DOI":"10.3171\/jns.1976.44.2.0258","article-title":"New lumboperitoneal shunt for communicating hydrocephalus. Technical note.","volume":"44","author":"Hoffman","year":"1976"},{"key":"b8","series-title":"Practitioner","first-page":"310","article-title":"Syringomyelia.","volume":"211","author":"Jefferson","year":"1973"},{"key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"714","DOI":"10.3171\/jns.1966.24.4.0714","article-title":"Syringomyelia: a look at surgical therapy.","volume":"24","author":"Love","year":"1966"},{"key":"b10","series-title":"Can Med Assoc J","first-page":"731","article-title":"Syringomyelia: a clinical review of 75 cases.","volume":"93","author":"McIlroy","year":"1965"},{"key":"b11","series-title":"Surgery","first-page":"806","article-title":"Syringomyelia: current status of surgical therapy.","volume":"56","author":"Pitts","year":"1964"},{"key":"b12","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"416","DOI":"10.3171\/jns.1976.45.4.0416","article-title":"Experience with Arnold-Chiari malformation, 1960 to 1970.","volume":"45","author":"Saez","year":"1976"},{"key":"b13","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1136\/jnnp.44.1.35","article-title":"Clinical features, investigation and treatment of post-traumatic syringomyelia.","volume":"44","author":"Shannon","year":"1981"},{"key":"b14","series-title":"Arch Surg","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1001\/archsurg.1954.01260050572021","article-title":"Surgical treatment of syringomyelia.","volume":"68","author":"Wetzel","year":"1954"},{"key":"b15","series-title":"Brain","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1093\/brain\/101.2.223","article-title":"A critical appraisal of posterior fossa surgery for communicating syringomyelia.","volume":"101","author":"Williams","year":"1978"},{"key":"b16","series-title":"Br J Hosp Med","first-page":"331","article-title":"Current concepts of syringomyelia.","volume":"4","author":"Williams","year":"1970"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/56\/4\/article-p517.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/56\/4\/article-p517.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/56\/4\/article-p517.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T13:01:01Z","timestamp":1658667661000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/56\/4\/article-p517.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1982,4]]},"references-count":16,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/jns.1982.56.4.0517","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1982,4]]}}}