Intraoperative sonography in spinal dysraphism and syringohydromyelia
The use of intraoperative sonography was analyzed in 24 patients with spinal dysraphism and syringohydromyelia in order to determine the role of real-time sonography in the surgical management of these patients. Specific diagnoses included tethered cord (nine), syringohydromyelia (seven), congenital...
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| Veröffentlicht in: | American journal of roentgenology (1976) 1987-05, Vol.148 (5), p.1005-1013 |
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| container_title | American journal of roentgenology (1976) |
| container_volume | 148 |
| creator | Quencer, RM Montalvo, BM Naidich, TP Post, MJ Green, BA Page, LK |
| description | The use of intraoperative sonography was analyzed in 24 patients with spinal dysraphism and syringohydromyelia in order to determine the role of real-time sonography in the surgical management of these patients. Specific diagnoses included tethered cord (nine), syringohydromyelia (seven), congenital tumor unassociated with a tethered cord (four), diastematomyelia (three), and occult sacral meningocele (one). Intraoperative sonography determined the exact relationship of congenital tumors to the cord before opening the dura, which allowed a more precise approach to the mass. Intraoperative sonography identified the lower end of the syrinx cavities, which allowed optimal catheter placement. Fibroglial scar tissue, which may compartmentalize these syrinx cavities, was clearly shown, and the efficacy of shunt catheter placement was immediately determined. In diastematomyelia, intraoperative sonography identified the relationship of the hemicords to bony, cartilaginous, and/or fibrous septa and demonstrated the effect on the tethered hemicords of removing these septa and constructing a single dural sac from the two dural sacs that had enclosed the hemicords. Since significant surgical decisions are based on these sonographic observations, the authors urge widespread use of intraoperative sonography in patients with spinal dysraphism and syringohydromyelia. |
| doi_str_mv | 10.2214/ajr.148.5.1005 |
| format | Article |
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Specific diagnoses included tethered cord (nine), syringohydromyelia (seven), congenital tumor unassociated with a tethered cord (four), diastematomyelia (three), and occult sacral meningocele (one). Intraoperative sonography determined the exact relationship of congenital tumors to the cord before opening the dura, which allowed a more precise approach to the mass. Intraoperative sonography identified the lower end of the syrinx cavities, which allowed optimal catheter placement. Fibroglial scar tissue, which may compartmentalize these syrinx cavities, was clearly shown, and the efficacy of shunt catheter placement was immediately determined. In diastematomyelia, intraoperative sonography identified the relationship of the hemicords to bony, cartilaginous, and/or fibrous septa and demonstrated the effect on the tethered hemicords of removing these septa and constructing a single dural sac from the two dural sacs that had enclosed the hemicords. Since significant surgical decisions are based on these sonographic observations, the authors urge widespread use of intraoperative sonography in patients with spinal dysraphism and syringohydromyelia.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.148.5.1005</identifier><identifier>PMID: 3554915</identifier><identifier>CODEN: AAJRDX</identifier><language>eng</language><publisher>Leesburg, VA: Am Roentgen Ray Soc</publisher><subject>Biological and medical sciences ; Humans ; Intraoperative Care ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Meningocele - diagnosis ; Meningocele - surgery ; Nervous system ; Neural Tube Defects - diagnosis ; Neural Tube Defects - surgery ; Spinal Cord Neoplasms - congenital ; Spinal Cord Neoplasms - diagnosis ; Spinal Cord Neoplasms - surgery ; Syringomyelia - diagnosis ; Syringomyelia - surgery ; Ultrasonic investigative techniques ; Ultrasonography</subject><ispartof>American journal of roentgenology (1976), 1987-05, Vol.148 (5), p.1005-1013</ispartof><rights>1987 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-5c6508d64cdbeac5579d85e6c03b9f3bce8678bbabf51dfd131563099c5f894e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,4118,23929,23930,25139,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8218488$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3554915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Quencer, RM</creatorcontrib><creatorcontrib>Montalvo, BM</creatorcontrib><creatorcontrib>Naidich, TP</creatorcontrib><creatorcontrib>Post, MJ</creatorcontrib><creatorcontrib>Green, BA</creatorcontrib><creatorcontrib>Page, LK</creatorcontrib><title>Intraoperative sonography in spinal dysraphism and syringohydromyelia</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>The use of intraoperative sonography was analyzed in 24 patients with spinal dysraphism and syringohydromyelia in order to determine the role of real-time sonography in the surgical management of these patients. Specific diagnoses included tethered cord (nine), syringohydromyelia (seven), congenital tumor unassociated with a tethered cord (four), diastematomyelia (three), and occult sacral meningocele (one). Intraoperative sonography determined the exact relationship of congenital tumors to the cord before opening the dura, which allowed a more precise approach to the mass. Intraoperative sonography identified the lower end of the syrinx cavities, which allowed optimal catheter placement. Fibroglial scar tissue, which may compartmentalize these syrinx cavities, was clearly shown, and the efficacy of shunt catheter placement was immediately determined. In diastematomyelia, intraoperative sonography identified the relationship of the hemicords to bony, cartilaginous, and/or fibrous septa and demonstrated the effect on the tethered hemicords of removing these septa and constructing a single dural sac from the two dural sacs that had enclosed the hemicords. Since significant surgical decisions are based on these sonographic observations, the authors urge widespread use of intraoperative sonography in patients with spinal dysraphism and syringohydromyelia.</description><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Intraoperative Care</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Meningocele - diagnosis</subject><subject>Meningocele - surgery</subject><subject>Nervous system</subject><subject>Neural Tube Defects - diagnosis</subject><subject>Neural Tube Defects - surgery</subject><subject>Spinal Cord Neoplasms - congenital</subject><subject>Spinal Cord Neoplasms - diagnosis</subject><subject>Spinal Cord Neoplasms - surgery</subject><subject>Syringomyelia - diagnosis</subject><subject>Syringomyelia - surgery</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonography</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1LAzEQhoMotVav3oQ9iJ52zTSZ3exRStVCwYuCt5BNsm3Kfpm0lv33bmkRTwPzPvMOPITcAk2mU-BPauMT4CLBBCjFMzIG5GnMgMM5GVOWQiwo-7okVyFsKKWZyLMRGTFEngOOyXzRbL1qO-vV1v3YKLRNu_KqW_eRa6LQuUZVkenDYeVCHanGRKH3rlm16974tu5t5dQ1uShVFezNaU7I58v8Y_YWL99fF7PnZaw5ZNsYdYpUmJRrU1ilEbPcCLSppqzIS1ZoK9JMFIUqSgRTGmCAKaN5rrEUObdsQh6OvZ1vv3c2bGXtgrZVpRrb7oLMMgSOKR_A5Ahq34bgbSk772rlewlUHrzJwZscvEmUB2_Dwd2peVfU1vzhJ1FDfn_KVdCqKr1qtAt_mJiC4EIM2OMRW7vVeu-8laFWVTWUgtzv9_8e_gLXlIUC</recordid><startdate>19870501</startdate><enddate>19870501</enddate><creator>Quencer, RM</creator><creator>Montalvo, BM</creator><creator>Naidich, TP</creator><creator>Post, MJ</creator><creator>Green, BA</creator><creator>Page, LK</creator><general>Am Roentgen Ray Soc</general><general>American Roentgen Ray Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19870501</creationdate><title>Intraoperative sonography in spinal dysraphism and syringohydromyelia</title><author>Quencer, RM ; Montalvo, BM ; Naidich, TP ; Post, MJ ; Green, BA ; Page, LK</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-5c6508d64cdbeac5579d85e6c03b9f3bce8678bbabf51dfd131563099c5f894e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Intraoperative Care</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Meningocele - diagnosis</topic><topic>Meningocele - surgery</topic><topic>Nervous system</topic><topic>Neural Tube Defects - diagnosis</topic><topic>Neural Tube Defects - surgery</topic><topic>Spinal Cord Neoplasms - congenital</topic><topic>Spinal Cord Neoplasms - diagnosis</topic><topic>Spinal Cord Neoplasms - surgery</topic><topic>Syringomyelia - diagnosis</topic><topic>Syringomyelia - surgery</topic><topic>Ultrasonic investigative techniques</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quencer, RM</creatorcontrib><creatorcontrib>Montalvo, BM</creatorcontrib><creatorcontrib>Naidich, TP</creatorcontrib><creatorcontrib>Post, MJ</creatorcontrib><creatorcontrib>Green, BA</creatorcontrib><creatorcontrib>Page, LK</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quencer, RM</au><au>Montalvo, BM</au><au>Naidich, TP</au><au>Post, MJ</au><au>Green, BA</au><au>Page, LK</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative sonography in spinal dysraphism and syringohydromyelia</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1987-05-01</date><risdate>1987</risdate><volume>148</volume><issue>5</issue><spage>1005</spage><epage>1013</epage><pages>1005-1013</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>The use of intraoperative sonography was analyzed in 24 patients with spinal dysraphism and syringohydromyelia in order to determine the role of real-time sonography in the surgical management of these patients. Specific diagnoses included tethered cord (nine), syringohydromyelia (seven), congenital tumor unassociated with a tethered cord (four), diastematomyelia (three), and occult sacral meningocele (one). Intraoperative sonography determined the exact relationship of congenital tumors to the cord before opening the dura, which allowed a more precise approach to the mass. Intraoperative sonography identified the lower end of the syrinx cavities, which allowed optimal catheter placement. Fibroglial scar tissue, which may compartmentalize these syrinx cavities, was clearly shown, and the efficacy of shunt catheter placement was immediately determined. In diastematomyelia, intraoperative sonography identified the relationship of the hemicords to bony, cartilaginous, and/or fibrous septa and demonstrated the effect on the tethered hemicords of removing these septa and constructing a single dural sac from the two dural sacs that had enclosed the hemicords. Since significant surgical decisions are based on these sonographic observations, the authors urge widespread use of intraoperative sonography in patients with spinal dysraphism and syringohydromyelia.</abstract><cop>Leesburg, VA</cop><pub>Am Roentgen Ray Soc</pub><pmid>3554915</pmid><doi>10.2214/ajr.148.5.1005</doi><tpages>9</tpages></addata></record> |
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| identifier | ISSN: 0361-803X |
| ispartof | American journal of roentgenology (1976), 1987-05, Vol.148 (5), p.1005-1013 |
| issn | 0361-803X 1546-3141 |
| language | eng |
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| source | American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Humans Intraoperative Care Investigative techniques, diagnostic techniques (general aspects) Medical sciences Meningocele - diagnosis Meningocele - surgery Nervous system Neural Tube Defects - diagnosis Neural Tube Defects - surgery Spinal Cord Neoplasms - congenital Spinal Cord Neoplasms - diagnosis Spinal Cord Neoplasms - surgery Syringomyelia - diagnosis Syringomyelia - surgery Ultrasonic investigative techniques Ultrasonography |
| title | Intraoperative sonography in spinal dysraphism and syringohydromyelia |
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