How I Do It: Syrinx to subarachnoid shunt placement

Syrinx to subarachnoid Shunt Placement, by Langston Holly and Ulrich Batzdorf

3 Comments

  1. Suroto, MD says:

    It’s very good procedure.
    I’ve haven’t seen during my residency.
    In what kind of syrinx do you perform the procedure?
    thank you for the video …

  2. Langston Holly says:

    Thank you for the comment. In general, most syrinx cavities are most optimally managed surgically by identifying the location of the subarachnoid CSF flow obstruction and alleviating the cause of obstruction. The standard treatment is posterior subarachnoid space reconstruction consisting of intradural lysis of adhesions, reestablishment of CSF flow, and duraplasty. In many cases the restoration of normal CSF flow will abolish the filling mechanism of the syrinx, and result in disappearance or significant reduction in syrinx size. Syrinx shunting should be considered if there is not any focal area of subarachniod scarring that would be amenable to surgery such as post-meningitis syringomyelia where there is diffuse CSF blockage, or after multiple failed attempts of traditional posterior subarachnoid space reconstruction for disorders such as post-traumatic syringomyelia.

    Langston Holly, M.D

  3. jose peguero says:

    I personally perform the syringo-subarachnoid shunt only after the posterior fossa.It decompression has failed or the siringomielia is not associated with a Chiari malformation It is a nice and easy procedure

Leave a Reply