Total gastrectomy for rare refractory gastroparesis in patient with syringomyelia: A good impact on quality of life

Maurizio Zizzo, Andrea Lanaia, Aurelio Negro, Rosaria Santi, Stefano Bonilauri

Research output: Contribution to journalArticlepeer-review

Abstract

Syringomyelia is a chronic progressive disease of the spinal cord. In symptomatic patients, bilateral sensory motor signs and symptoms prevail, moreover they can develop gastrointestinal disorders, although few studies have succeeded in explaining this correlation so far. We report a case of a 67-year-old woman with a history of pain in the back-lumbar spine and lower limbs, paresthesia and urinary incontinence. MRI revealed syringomyelia, extended from T3 to the medullary cone. Neurological picture was worsened by progressive and increasingly debilitating gastrointestinal symptoms refractory to dietary changes and medical treatment. Blood tests, gastrointestinal investigations and imaging were all normal apart from scintigraphy which confirmed delayed gastric emptying. The neurological symptoms disappeared after removal of an hemangioblastoma of the medullary cone. The persistent gastroparesis was treated by total gastrectomy with complete resolution of the patient's gastrointestinal symptoms.

Original languageEnglish
Pages (from-to)444-447
Number of pages4
JournalAnnals of Medicine and Surgery
Volume4
Issue number4
DOIs
Publication statusPublished - Dec 1 2015
Externally publishedYes

Keywords

  • Gastric scintigraphy
  • Refractory gastroparesis
  • Syringomyelia
  • Total gastrectomy

ASJC Scopus subject areas

  • Medicine(all)
  • Surgery

Fingerprint Dive into the research topics of 'Total gastrectomy for rare refractory gastroparesis in patient with syringomyelia: A good impact on quality of life'. Together they form a unique fingerprint.

Cite this