A 46-year-old man, who was left-hand dominant with known paraplegia due to tuberculosis spondylitis, presented with complaints of progressively increasing weakness and instability of the left upper limb for the past 2 years. The patient had difficulty using his left upper limb for activities of daily living such as eating, combing his hair, and maneuvering his wheelchair. On examination, the le...

Syringomyelia is a progressive neurological disorder in which fluid-filled cyst known as syrinx forms within the spinal cord. The case of 20-year adult presented with lower limb stiffness and difficulty walking for last 3 years. For 1 year, he also developed upper limbs. Upon examination, had spastic gait no ataxia. There was muscle wasting both limbs, fasciculation. Tone increased reduced powe...

Japanese encephalitis (JE) shows characteristic brain lesions, including bilateral thalamus, midbrain, internal capsule, basal ganglia, and occasionally involves an anterior horn cell. We encountered a case of a 44-year-old man who initially presented with encephalitis, which was finally diagnosed as Japanese encephalomyelitis with syringomyelia. The patient showed severe motor weakness followe...

Diagnosis and treatment of CMI is undergoing reexamination that includes redefinition of the anatomic Chiari malformation and refinement and redefinition of the clinical syndrome. Children with SMI present with head pain of some kind, a neurologic deficit, or with signs of spinal cord dysfunction from syrinx. Some will present with no clinical syndrome at all. Presence of anatomic Chiari malfor...

Six cases of syringomyelia associated with intramedullary tumor were examined by metrizamide myelography and delayed computed tomography. All cases showed opacification of syringomyelic cavities 7-24 hr after myelography. This finding suggests that metrizamide can pass through the cord substance from the subarachnoid space into a syrinx cavity in noncommunicating types of syringomyelia. It supp...

Syringomyelia is condition in which a cyst or cavity forms inside the spinal cavity. Its management always remains a difficult. A variety of surgical techniques have been used in management of syringomyelia. Syringosubarachnoid shunt remains an effective method in management of syringomyelia. Shunt tube obstruction remains an important complication of shunt procedure. We describe a novel techni...