What is the role of neuroendoscopic surgery in the treatment of syringomyelia?

Updated: Nov 10, 2017
  • Author: Hassan Ahmad Hassan Al-Shatoury, MD, PhD, MHPE; Chief Editor: Selim R Benbadis, MD  more...
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Answer

This technique is particularly useful in evaluating and treating multiple septate syrinxes.

A fibroscope inserted through a small myelotomy allows inspection of the intramedullary cavity. Septa are fenestrated, either mechanically or by laser. Fluid from the cavity is then shunted into the subarachnoid space.

Surgical untethering in select cases with posttraumatic tethering associated with syringomyelia [14]


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