Abstract
Although syringomyelia is a well known disease, there is still considerable controversy about the pathogenesis, the indication for surgery and the methods of surgical treatment in syringomyelia. We had the opportunity to study 3 patients with syringomyelia which included posttraumatic syringomyelia, syringomyelia secondary to spianl arachnoiditis, and syringomyelia associated with the Chiari malformation. Two patients were treated with syringoperitoneal shunt and all had good or excellent results with improvement of neurological deficit or cessation of progression. Remaining one patient was treated with syringosubarachnoid shunt and posterior fossa decompression and had excellent result. Follow-up period was very short, but thus favorable result was obtained. Although there are some problems in surgical management of syringomyelia, both syringoperitoneal shunt and syringosubarachnoid shunt are effective therapeutic modalities for many patients with syringomyelia.
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