Subacute posttraumatic ascending myelopathy (SPAM): A potential complication of subarachnoid shunt for syringomyelia?

Vincenzo Levi, Andrea Franzini, Andrea Di Cristofori, Giulio Bertani, Mauro Pluderi

Research output: Contribution to journalArticlepeer-review

Abstract

Context: Treatment of primary spinal syringomyelia is still controversial. Among others, shunting syrinx fluid to the subarachnoid, peritoneal or pleural space has been utilized with varying success. Shunt obstruction, migration, and infection represent the most common complications of these procedures. Findings: The authors present the case of an 81-year-old woman who developed an unusual neurological deterioration resembling a subacute posttraumatic ascending myelopathy (SPAM) after the insertion of a syringosubarachnoid shunt for the treatment of slow-growing D10 syringomyelia. Conclusion/Clinical Relevance: To date, no cases of SPAM secondary to the insertion of a syringosubarachnoid shunt for the treatment of syringomyelia have been reported. The potential pathogenesis related to this phenomenon is discussed.

Original languageEnglish
Pages (from-to)714-718
JournalJournal of Spinal Cord Medicine
Volume43
Issue number5
DOIs
Publication statusPublished - 2020

Keywords

  • Complication
  • Subacute posttraumatic ascending myelopathy (SPAM)
  • Syringomyelia
  • Syringosubarachnoid shunt

ASJC Scopus subject areas

  • Clinical Neurology

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