What are the complications of syringomyelia?

The complications of syringomyelia are: firstly, abnormal changes such as scoliosis or backbend, and then due to different forces, the joints will also accelerate wear, resulting in atrophy and deformity. Then there is the flat skull base, especially for the cervical spinal cord, which is relatively common, including hydrocephalus caused by compression of the cerebrospinal fluid circulation pathway.

There is also the case of lung infection and atelectasis, because once the syringomyelia affects the respiratory muscles, in this case, it will cause weakness of the respiratory muscles, unable to cough in time, and sputum will accumulate in the lungs, causing lung infection, atelectasis and so on. There are also some abnormalities in autonomic nervous function, sweat secretion and nutrition disorders, such as excessive or low sweating.

Patients with syringomyelia generally do not have significant complications if promptly**. If not treated in time, syringomyelia can progressively develop into total syringomyelia, resulting in limb numbness, pain, limb weakness, muscle atrophy, loss of pain and temperature sensation in the limbs and trunk, loss of pain and temperature sensation in the face in severe cases, Charcot arthritis of the shoulder and elbow joints, limb paralysis, etc. If syringomyelia involves the conus medullaris, patients often have urinary and urinary incontinence, sexual dysfunction, etc.

In addition, maltrophic ulcers can also occur.

The complications of syringomyelia are: Syringomyelia can be complicated by congenital malformations, such as occult spina bifida, cervic-occipital deformity, scoliosis, posterior process malformation, cerebellar tonsillar herniation, cavus foot and other diseases.

After the development of the lesion and the pyramidal tract and extrapyramidal tract, the lower limbs gradually appear spastic paralysis, and the pyramidal tract signs of both lower limbs are positive, when one side of the cervical spinal cord is damaged, the descending sympathetic fibers are destroyed, and the hornor syndrome can appear on the same side, and the more common autonomic disorders include nutritional disorders such as keratosis, hair loss, and vascular soothing disorders.

In the later stage of syringomyelia, the nucleus of the trigeminal nerve spinal tract may be involved, and the onion skin-like pain and temperature sensation of the face may be affected, and the suspected nucleus may be involved, causing dysphagia and choking on water; involvement of the hypoglossal nerve nucleus extensor muscles and fasciculations; vestibulocerebellar pathway involvement, tremor, vertigo, nystagmus, and stool with a steady gait; develops from the outside to the nasolabial; Peripheral facial paralysis occurs when the facial nerve nucleus is involved. Drink some Chinese medicine to recuperate**!

After the hollow ** soup is carefully boiled, the medicinal soup will produce a special spinal cord nerve repair enzyme, when this special enzyme enters the human body, it quickly coagulates at the spinal cord lesion, and repairs, nourishes and regenerates at the spinal cord injury, so that the body can return to normal and various body functions are free. At the same time, it repairs damaged nerves, regenerates nerve cells, rebuilds the lost sensory nervous system, and gradually strengthens the sensory nervous system, so that the limbs become sensitive, restored to the same state, move freely, and completely restore the best state of human health! The above is related to the complications of syringomyelia.

People with syringomyelia know what complications can be caused by muscle atrophy if it is not timely:

1. Bedsores: Bedsores are the protruding parts of the bones or the subcutaneous tissue is compressed, the blood does not flow, causing tissue necrosis, common parts such as the scapula, intestinal bone, greater tuberosity, foot and ankle, elbow bone protrusion, syringomyelia patients due to muscle atrophy and inconvenience, long-term bed rest, will lead to the formation of bedsores.

2. Constipation: due to the weakening of abdominal muscle strength and digestive system exercise, coupled with insufficient water intake, patients with syringomyelia muscular dystrophy are prone to constipation.

3. Heart weakness: The muscles of the heart in patients with syringomyelia muscle atrophy have changed, resulting in a gradual decline in the blood volume of various organs of the patient's body, resulting in heart failure. If the patient has difficulty breathing, heart rate of more than 100 beats, foamy sputum, edema, lack of urine, loss of appetite, etc., he should go to the hospital for diagnosis and treatment as soon as possible.

Tips: For a disease such as syringomyelia, there is a certain degree of difficulty in **, and patients must choose a professional regular hospital and a department that specializes in syringomyelia when they are late, and they can learn from it through science and technology as soon as possible.

Patients with syringomyelia are more likely to have hemiplegia or paraplegia, respiratory failure, and bowel and bowel problems. In addition, in daily life, it is necessary to avoid bends and hands, so as not to cause aggravated actions such as lifting heavier items.

5 years ago, there was no obvious cause of soreness and numbness in the left thigh, which lasted for dozens of minutes, and it can be relieved to laugh and sail after resting. No pain, no limb immobility. The patient underwent conservative examination at the local hospital according to the herniated lumbar disc**, and the symptoms were not relieved.

After that, the numbness gradually expanded to both lower limbs, with the left side of the body, and at the same time, the waist was sore, and the left thigh was weak. Thoracic syringomyelia should be examined at a local hospital.

Two years ago, he underwent relevant examinations in a hospital in Beijing to consider the possibility of intraspinal mass occupation, and after completing the preoperative examination, he underwent neuraxial lesion exploration with the posterior median approach of the thoracic and dorsal, and there was no clear mass contention lesion during the operation.

One year ago, the patient gradually felt weakness in his left thigh, which manifested as difficulty climbing stairs and muscle atrophy of the left thigh. At the same time, it is difficult to urinate. In order to further **, I came to our hospital for outpatient treatment and was admitted to our department for syringomyelia.

Anamnesis] Anamnesis] in good health, no special personal family history.

Physical examination] Physiological curvature of the spine is present, and the spinous process is not tender. A 10 cm old surgical scar can be seen on the back. The cervical spine and lumbar spine have normal physiological activities. Left distal lower limb muscle strength grade IV, proximal muscle strength grade III, and remaining limb muscle strength was normal.

Muscle tone is not high. The circumference of the left thigh is 3cm smaller than that of the right side. Bilateral T8 nerves below the area of pain and touch hail are reduced. Decreased left knee tendon reflexes. Pathological signs are negative.

The reason is unknown, and most scholars believe that syringomyelia is not an independent disease caused by a single **, and that rock hollow disorder is a syndrome caused by a variety of ** elements.

1.Congenital developmental abnormalities This disease is often combined with malformations such as cerebellar tonsillar herniation, spina bifida, hydrocephalus, cervical ribs, and cavus feet, so syringomyelia is considered to be a congenital dysplasia of the spinal cord. It is thought to be due to embryonic spinal neural tube insufficiency or spinal cord.

Caused by endocongenital gliosis leading to degeneration of the spinal cord center.

2.Cerebrospinal fluid dynamic abnormalities Congenital abnormalities in the cervicooccipital region affect the cerebrospinal fluid from the fourth ventricle into the subarachnoid space, and the pressure of the ventricles increases pulsatically, constantly impacting the spinal canal to make it gradually expand, resulting in communicating syringomyelia that communicates with the canal.

3.Abnormal blood circulation It is believed that spinal cord vascular malformation, spinal cord injury, myelitis with ** duct softening and dilation and arachnoiditis cause abnormal blood circulation in the spinal cord, resulting in spinal cord ischemia, necrosis, liquefaction and cavity.

Factors for the occurrence of syringomyelia:

1. Mechanical factors: due to congenital factors caused by the obstruction of the outlet of the fourth ventricle, the flow of cerebrospinal fluid from the fourth ventricle to the subarachnoid space is blocked, and the pulsatile wave of cerebrospinal fluid hits the spinal canal downward, causing the canal to expand and break through the wall of the canal to form a cavity.

2. Abnormal blood circulation: due to the abnormal blood circulation of the spinal cord, such as the compression of the anterior spinal artery or the obstruction of the venous return of the spinal cord, it causes ischemia, necrosis, liquefaction of the tissues in the spinal cord, and finally forms a syringoma.

3. Cerebrospinal fluid (CSF) motility abnormality: there is no unified understanding of the pathogenesis of syringomyelia, and congenital malformations of the craniocervical junction area combined with syringomyelia are common in clinical work, and syringomyelia is mostly seen in the cervical and upper thoracic spinal cords. It is thought that cerebellar tonsillar herniation impairs the circulation of cerebrospinal fluid in this area, resulting in spinal cord damage and the formation of syrinx.

In addition, spinal cord injuries and tumors can cause syringoma to form.

4. Primary disease. Syringomyelia can be secondary to spinal cord trauma, spinal glioblastoma, cystic lesions, vascular malformations, and spinal arachnoiditis.

Myelitis with **softening and other conditions. State line.

5. Spinal cord tumors can be accompanied by syringomyelia, the most common such as spinal cord hemangioblastoma, after the tumor is removed, the cavities can be relieved by themselves. After spinal cord trauma, cavitation can occur either due to injury to the spinal cord itself or due to fracture compression.

6. Congenital dysplasia: Because syringomyelia is often complicated by other congenital abnormalities such as skull base depression, cerebellar tonsillar herniation, spina bifida, scoliosis deformity, etc., as well as the tendency of family disease, it is believed that syringomyelia is related to genetic factors.

Causes of syringomyelia: Congenital factors, traumatic factors, spinal cord tumors, and vigorous coughing, sneezing, etc. can all cause syringomyelia.

Syringomyelia and syringomyelia is a slowly progressive degenerative disease of the spinal cord or medulla. Its pathological characteristics are the presence of delayed glial hyperplasia and cavitation in the medulla. Motor Neuron Disease:

Spinal cord vascular disease is far less common than cerebrovascular disease, and the lesions are mostly in the middle thoracic segment or lower cervical segment, and acute radicular pain occurs at the level of lesions, paraplegia occurs in a short period of time, and the pain and temperature perception of spinothalamic tract conduction below the level of damage is lost.

Causes of syringomyelia:

1. Congenital factors. When the patient suffers from arachnoiditis and other diseases, it will cause the spinal fluid to not flow normally, and constantly impact the lumen of the spinal cord, which will expand and destroy the surrounding blood vessels and form a syrinx.

2. Traumatic factors. Trauma such as spinal cord tumors and arachnoiditis can lead to necrosis of the central part of the spinal cord, resulting in the accumulation of exudate and destruction products, which increases the osmotic pressure in the body and causes syringomyelia.

3. Spinal cord tumors. When a patient suffers from spinal cord tumors, ischemia, bleeding and other factors, it can cause syringomyelia and need to be actively carried out.

4. Cough and sneeze vigorously. When the patient coughs or sneezes too hard, the venous pressure in the skull and spinal canal rises, resulting in increased pressure in the subarachnoid space, and the patient himself has a mild hernia of the small tonsils, which causes the circulation of spinal fluid to be imbalanced and the pressure is imbalanced, resulting in syringomyelia.

** Methods of syringomyelia:

1. Drugs**. Under the guidance of a doctor, patients can use drugs such as vitamin B group and nerve cell metabolic function activator for ** disease.

2. Surgery**. When patients have complicated senile diseases such as circumoccipital malformation and cerebellar tonsillar malformation, surgery should be performed after the diagnosis is confirmed**.

3. Physics**. In the process, patients can use physical therapy, physiotherapy, acupuncture, etc. according to their condition to promote the recovery of postoperative neurological function.

Movement abnormalities: Movement abnormalities are generally manifested as a decrease in the strength of one or both upper limbs, atrophy of hand muscles, in severe cases, the little finger and ring finger can not be straightened, the hand is claw-shaped, and the muscles of the neck, shoulder, and arm are atrophied.

Paresthesias: paresthesias are usually manifested by decreased or absent pain and temperature sensation or numbness in one or both upper limbs, severe cases of hand burns or knife cuts without sensation, accompanied by neck, shoulder, back or upper limb pain, and some patients may also have a syringomyelia in the lower limbs.

Abnormalities: Abnormalities are manifested as thickening, hyperkeratosis, and pallor of the fingers, and possibly excessive sweating, no sweating, rough nails, brittle nails, etc.