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A syrinx is a rare, ... It most often affects the cervical and thoracic regions but may extend further down or up into the brainstem (syringobulbia). [2]
Syringomyelia is a generic term referring to a disorder in which a cyst or cavity forms within the spinal cord. Often, syringomyelia is used as a generic term before an etiology is determined. [ 3 ] This cyst, called a syrinx , can expand and elongate over time, destroying the spinal cord.
Tethering may also develop after spinal cord injury. Scar tissue can block the flow of fluids around the spinal cord. Fluid pressure may cause cysts to form in the spinal cord, a condition called syringomyelia. This can lead to additional loss of movement or feeling, or the onset of pain or autonomic nervous system symptoms. [6]
Syringomyelia is often associated with type I Chiari malformation and is commonly seen between the C-4 and C-6 levels. The exact development of syringomyelia is unknown but many theories suggest that the herniated tonsils in type I Chiari malformations cause a "plug" to form, which does not allow an outlet of CSF from the brain to the spinal canal.
A fluid-filled lesion forms, known as a syrinx. [1] This can vary in size significantly between patients. [1] Nerve fibres may be compressed where they cross the midline, or in other parts of the spinal cord. [1] Cranial nerves may be affected. [3] Syringobulbia may be associated with syringomyelia, a syrinx limited to the spinal cord. [4]
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Diastematomyelia usually occurs between 9th thoracic and 1st sacral levels of the spinal column with most being at the level of the upper lumbar vertebra. Cervical diastematomyelia is a very rare entity. The extent (or length of spinal cord involved) varies from one affected individual to another.