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. 2023 Oct;165(10):3039-3043.
doi: 10.1007/s00701-023-05654-y. Epub 2023 Jun 19.

Syringopleural shunt for refractory syringomyelia: how I do it

Paolo Perrini  1   2 , Nicola Benedetto  3 , Alberto Vercelli  3 , Davide Tiziano Di Carlo  3   4
Affiliations

Syringopleural shunt for refractory syringomyelia: how I do it

Paolo Perrini et al. Acta Neurochir (Wien). 2023 Oct.

Abstract

Background: Surgical treatment of syringomyelia is directed at the reconstruction of the subarachnoid space and restoration normal cerebrospinal fluid flow. Direct intervention on the syrinx is a rescue procedure and should be offered to patients with refractory syringomyelia.

Methods: We provide an overview on indications and technique of syringopleural shunt (SPS). The procedure involves the connection of syrinx with the pleural space using a lumboperitoneal shunt. The occurrence of a negative pressure inside the pleural compartment offers an appropriate gradient for drainage from the syrinx.

Conclusions: The SPS allows for a safe and effective treatment of persistent syringomyelia when management of the underlying cause does not yield substantial improvement.

Keywords: Chiari malformation; Syringomyelia; Syringopleural shunt.

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