{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T10:49:27Z","timestamp":1782211767096,"version":"3.54.5"},"reference-count":48,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,8]]},"abstract":"<jats:p>\u2713The author's aim in reporting this case is to extend awareness of the importance of management of associated hydrocephalus among patients with syringomyelia to the posttraumatic state. A full-term infant was delivered by cesarean section because of transverse lie. In the 2nd week of life, hypotonia affecting the lower limbs and the left upper limb was recognized. On MR imaging, posterior fossa subdural hemorrhage and spinal cord injury at the T-1 and T-2 levels were evident. Sequential imaging studies demonstrated progressive myelomalacic changes in the cervical spinal cord and eventual development of syrinx cavities as far cephalad as C-3. Hydrocephalus developed simultaneously as well. A ventriculoperitoneal cerebrospinal fluid shunt was inserted at 22 months of age. Six months after shunt insertion, MR imaging demonstrated regression of the posttraumatic syringomyelia. The patient was stable from an imaging standpoint at 16 months after shunt insertion, and she has continued to make developmental progress. The importance of treatment of associated hydrocephalus is widely recognized in the management of syringomyelia associated with the Chiari malformations. It should be considered in the management of posttraumatic syringomyelia as well.<\/jats:p>","DOI":"10.3171\/ped.2005.103.2.0198","type":"journal-article","created":{"date-parts":[[2010,8,27]],"date-time":"2010-08-27T06:00:46Z","timestamp":1282888846000},"page":"198-202","source":"Crossref","is-referenced-by-count":2,"title":["Progressive syringomyelia controlled by treatment of associated hydrocephalus in an infant with birth injury"],"prefix":"10.3171","volume":"103","author":[{"given":"Joseph H.","family":"Piatt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Lancet","first-page":"799","article-title":"Pathogenesis of syringomyelia.","volume":"2","author":"Ball","year":"1972"},{"key":"b2","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"382","DOI":"10.3171\/jns.1998.89.3.0382","article-title":"A critical appraisal of syrinx cavity shunting procedures.","volume":"89","author":"Batzdorf","year":"1998"},{"key":"b3","series-title":"Arch Fr Pediatr","first-page":"823","article-title":"[Neonatal spinal cord injuries and magnetic resonance imaging.]","volume":"45","author":"Bloom","year":"1988"},{"key":"b4","series-title":"Dev Med Child Neurol","first-page":"103","article-title":"Spinal-cord injuries during birth.","volume":"17","author":"Byers","year":"1975"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"553","DOI":"10.3171\/jns.1999.91.4.0553","article-title":"Elucidating the pathophysiology of syringomyelia.","volume":"91","author":"Heiss","year":"1999"},{"key":"b6","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"886","DOI":"10.1227\/00006123-199411000-00012","article-title":"Posttraumatic syringomyelia: its characteristic magnetic resonance imaging findings and surgical management.","volume":"35","author":"Hida","year":"1994"},{"key":"b7","series-title":"Am J Perinatol","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1055\/s-2007-999780","article-title":"Thoracic spinal cord (T3-T4) transection in a breech-presenting, cesarean-sectiondelivered preterm infant.","volume":"4","author":"Ilagan","year":"1987"},{"key":"b8","series-title":"J Pediatr Orthop B","first-page":"78","article-title":"Obstetric dislocation of the thoracic spine: case report and review of the literature.","volume":"10","author":"Journeau","year":"2001"},{"key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"233","DOI":"10.3171\/jns.1997.86.2.0233","article-title":"Treatment of syringomyelia associated with arachnoid scarring caused by arachnoiditis or trauma.","volume":"86","author":"Klekamp","year":"1997"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"624","DOI":"10.3171\/jns.1997.86.4.0624","article-title":"Progressive posttraumatic myelomalacic myelopathy: treatment with untethering and expansive duraplasty.","volume":"86","author":"Lee","year":"1997"},{"key":"b11","series-title":"J Pediatr","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1016\/S0022-3476(05)83437-7","article-title":"Spinal cord injury at birth: diagnostic and prognostic data in twenty-two patients.","volume":"122","author":"MacKinnon","year":"1993"},{"key":"b12","series-title":"Obstet Gynecol","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/S0029-7844(95)80022-0","article-title":"High cervical spinal cord injury in neonates delivered with forceps: report of 15 cases.","volume":"86","author":"Menticoglou","year":"1995"},{"key":"b13","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1227\/00006123-199208000-00008","article-title":"Surgical treatment of syringomyelia based on magnetic resonance imaging criteria.","volume":"31","author":"Milhorat","year":"1992"},{"key":"b14","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1007\/BF00262857","article-title":"Traumatic cervical syringomyelia related to birth injury.","volume":"8","author":"Morota","year":"1992"},{"key":"b15","series-title":"Neurosurgery","first-page":"3593","article-title":"Chiari malformations, hydromyelia, syringomyelia","volume":"3","author":"Oakes","year":"1996"},{"key":"b16","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"3","DOI":"10.3171\/jns.1994.80.1.0003","article-title":"Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils. 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