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Scientific paper - Case study
Minimally Invasive Treatment of Idiopathic Syringomyelia Using Myringotomy T-Tubes: a Case Report and Technical Note
Acta clinica Croatica, 59 (2020), 1; 177-182. https://doi.org/10.20471/acc.2020.59.01.23
Jugović, Domagoj; Bošnjak, Roman; Rotim, Krešimir; C. Feigl, Günther

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Jugović, D., Bošnjak, R., Rotim, K. & C. Feigl, G. (2020). Minimally Invasive Treatment of Idiopathic Syringomyelia Using Myringotomy T-Tubes: a Case Report and Technical Note. Acta clinica Croatica, 59. (1), 177-182. doi: 10.20471/acc.2020.59.01.23

Jugović, Domagoj, et al. "Minimally Invasive Treatment of Idiopathic Syringomyelia Using Myringotomy T-Tubes: a Case Report and Technical Note." Acta clinica Croatica, vol. 59, no. 1, 2020, pp. 177-182. https://doi.org/10.20471/acc.2020.59.01.23

Jugović, Domagoj, Roman Bošnjak, Krešimir Rotim and Günther C. Feigl. "Minimally Invasive Treatment of Idiopathic Syringomyelia Using Myringotomy T-Tubes: a Case Report and Technical Note." Acta clinica Croatica 59, no. 1 (2020): 177-182. https://doi.org/10.20471/acc.2020.59.01.23

Jugović, D., et al. (2020) 'Minimally Invasive Treatment of Idiopathic Syringomyelia Using Myringotomy T-Tubes: a Case Report and Technical Note', Acta clinica Croatica, 59(1), pp. 177-182. doi: 10.20471/acc.2020.59.01.23

Jugović D, Bošnjak R, Rotim K, C. Feigl G. Minimally Invasive Treatment of Idiopathic Syringomyelia Using Myringotomy T-Tubes: a Case Report and Technical Note. Acta clinica Croatica [Internet]. 2020 [cited 2024 November 20];59(1):177-182. doi: 10.20471/acc.2020.59.01.23

D. Jugović, R. Bošnjak, K. Rotim and G. C. Feigl, "Minimally Invasive Treatment of Idiopathic Syringomyelia Using Myringotomy T-Tubes: a Case Report and Technical Note", Acta clinica Croatica, vol. 59, no. 1, pp. 177-182, 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:021766. [Accessed: 20 November 2024]

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Metadata
Title (english)Minimally Invasive Treatment of Idiopathic Syringomyelia Using Myringotomy T-Tubes: a Case Report and Technical Note
Title (croatian)Minimalno invazivno liječenje idiopatske siringomijelije uporabom ventilacijskih T-cjevčica za bubnjić: prikaz slučaja i operativne tehnike
AuthorDomagoj Jugović
AuthorRoman Bošnjak
AuthorKrešimir Rotim
AuthorGünther C. Feigl
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Syringomyelia is characterized by a fluid-filled cavity within the spinal cord. Expansion of the syrinx often results in the clinical course of progressive neurologic deficit. Surgery for syringomyelia generally aims to treat the underlying cause, if it is known. However, little is known about idiopathic syringomyelia, which requires specific management. In our paper, an alternative, minimally invasive treatment option for large symptomatic idiopathic cervicothoracic syrinx is described and discussed. We present a case of a 44-year-old male without a history of spinal cord trauma, infection, or other pathologic processes, who presented for thoracic pain. Due to progressive pain and left leg paresis, magnetic resonance imaging (MRI) was performed and revealed extensive septated syringomyelia from T5 to T7 and hydromyelia cranially. We applied minimally invasive technique for shunting the idiopathic syrinx into the subarachnoid space using two Richards modified myringotomy T-tubes. Postoperative MRI revealed significant decrease in the syrinx size and clinical six-month follow-up showed improvement of clinical symptoms. This minimally invasive treatment of syringomyelia was found to be an effective method for idiopathic septated syrinx, without evident underlying cause. However, long-term follow-up and more patients are necessary for definitive evaluation of this technique.
Abstract (croatian)
Siringomijeliju predstavlja stvaranje šupljina ispunjenih tekućinom unutar kralježnične moždine. Širenje šupljine često dovodi do pojave neuroloških poremećaja koji se postupno pogoršavaju. Operativno liječenje je usmjereno na otklanjanje uzroka siringomijelije, ako je taj uzrok poznat. Međutim, malo se zna o idiopatskoj siringomijeliji koja zahtijeva poseban tretman. U našem članku opisujemo alternativnu, minimalno invazivnu metodu liječenja velike simptomatske idiopatske vratno-prsne siringomijelije. Prikazujemo slučaj 44-godišnjeg bolesnika bez prethodno poznate ozljede, upale ili drugih bolesti kralježnične moždine, koji se žalio na bolove u prsnoj kralježnici. Zbog pogoršanja bolova i slabosti lijeve noge učinjena je magnetska rezonanca koja je pokazala veliku pregrađenu siringomijeliju u razini od 5. do 7. prsnog kralješka i kranijalno posljedičnu hidromijeliju. Primijenili smo minimalno invazivnu tehniku drenaže sirinksa u subarahnoidni prostor uporabom dviju ventilacijskih cjevčica za bubnjić (Richardsove modificirane T-cjevčice). Snimke nakon operacije su pokazale značajno smanjenje sirinksa, a kontrolni pregled nakon šest mjeseci poboljšanje neuroloških simptoma. Ova minimalno invazivna operacija siringomijelije se pokazala učinkovitom metodom u liječenju idiopatskog, membranom pregrađenog sirinksa nepoznate etiologije. Međutim, za konačnu procjenu ove metode potrebno je duže praćenje i veći broj slučajeva.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 59, no. 1, pp. 177-182
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2020.59.01.23
URN:NBNurn:nbn:hr:220:021766
Publication2020
Document URLhttps://hrcak.srce.hr/242448
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-06-26 12:13:01