Spinal cord cavitation
Syringomyelia type III
PREFERRED PRACTICE PATTERN3
A 21-year-old male with a 2-year history of C7 quadriplegia reports to his neurologist with report of loss of tenodesis grip and triceps strength bilaterally. Although he is still able to perform his daily functions it is taking longer to do so, and his ability to complete his transfers is becoming more impaired. He denies any injuries or traumas to his spine since the accident that caused the C7 quadriplegia. He has no fever, headache, or nausea. He demonstrates normal cognition. He has not been exposed to any illnesses or viruses, of which he is aware, for several months. MRI reveals a fluid-filled syrinx in the spinal cord at the level of C5.
Damage to the spinal cord is caused due to the formation of a fluid-filled cavity within the spinal cord.4
The fluid forms a cavity called a syrinx that can elongate over time, destroying the interior of the spinal cord.
MRI of syringomyelia associated with a Chiari malformation. Sagittal T1-weighted image through the cervical and upper thoracic spine demonstrates descent of the cerebellar tonsils and vermis below the level of the foramen magnum (black arrows). Within the substance of the cervical and thoracic spinal cord, a CSF collection dilates the central canal (white arrows). (From Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison’s Principles of Internal Medicine. 18th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)