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. 2022 Aug 30;14(8):e28577.
doi: 10.7759/cureus.28577. eCollection 2022 Aug.

Revision Thoracic Syringo-Subarachnoid Shunt for Recurrent Syrinx With Syringobulbia: Technique and Surgical Video

Kiran Sankarappan  1 , Andrew Pack  1 , Arpan Patel  2 , Benjamin Whiting  2 , William Clifton  3
Affiliations

Revision Thoracic Syringo-Subarachnoid Shunt for Recurrent Syrinx With Syringobulbia: Technique and Surgical Video

Kiran Sankarappan et al. Cureus. .

Abstract

Syringomyelia and syringobulbia continue to remain a diagnosis without widely accepted treatment paradigms. Furthermore, the currently available treatment options can be complicated by delayed symptom recurrence and the need for revision surgery. Revision intradural surgery is challenging, and currently, there is a paucity of literature describing safe techniques for revision syringotomy and shunt placement. In this technical report, we present a surgical video describing the technique of revision syringo-subarachnoid shunt placement in a 61-year-old female with a history of multiple intradural surgeries who presented with progressively symptomatic ascending syringobulbia.

Keywords: neurosurgery; spinal cord; spine; syringobulbia; syringomyelia; syrinx.

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Conflict of interest statement

The authors have declared financial relationships, which are detailed in the next section.

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