What is syringomyelia of the cervical and other parts of the spine. Chronic disease syringomyelia: what is it and how to treat progressive pathology of the nervous system Disease in children

Syringomyelia is a fairly common neurological disease. There are many forms of manifestation of the disease, which are determined by the causes of its occurrence. The vast majority of cases are associated with congenital anomalies of the patient's development, but there are also acquired conditions.

Why does syringomyelia occur?

Doctors distinguish between true and acquired forms of the disease. In the first case, the development of syringomyelia is associated with abnormal growth of the bones of the skull in the area where it connects to the spine. The result is a condition called Arnold-Chiari malformation - entrapment of the rhombencephalon and cerebellum in the posterior cranial fossa.

True syringomyelia is a hereditary disease. Its initial manifestations may be noticed at the age of 25–40 years or may never occur. The disease in its true form affects mainly men and accounts for about 80% of all known cases.

The remaining patients suffering from syringomyelia have an acquired form of the disease. Syringomyelia syndrome can be provoked by infectious inflammation of the spinal cord and brain (meningitis, arachnoiditis, etc.). It is believed that in some cases the reason may be too much physical activity. Common causes of cavities in the spinal cord are spinal injuries.

Manifestations of the disease

When a diagnosis of syringomyelia is made, relatives and the patient himself naturally ask what it is. Both true and acquired disease is expressed in the formation of cavities in the tissue of the spinal cord. Over time, a certain amount of cerebrospinal fluid (CSF) penetrates into them. As the cyst increases in volume, it begins to put pressure on the surrounding nerve cells, impeding the passage of signals or leading to tissue degeneration.

In any case, the patient experiences a number of characteristic symptoms:

pain in the neck, shoulders, arms;
paresthesia of different localization (numbness, tingling sensation, burning or cold, etc.);
muscle weakness and muscle atrophy, flaccid paralysis;
vegetative symptoms (excessive sweating, hypertrophy of fatty tissue on the fingers, keratinization of the skin, joint deformation, etc.).

In addition to general symptoms, other signs may occur associated with disorders of tissue trophism and the conduction of nerve impulses. Most patients experience a loss of thermal sensitivity in certain areas of the body.

Often the congenital disease affects the entire skeleton, leading to scoliosis and kyphosis, spina bifida. A number of patients develop signs of hydrocephalus (dropsy of the head). If tissue nutrition is disrupted, hair may fall out more or grow poorly. Some people also have ear abnormalities.

If the symptoms are mild, doctors may for some time mistake manifestations of cervical syringomyelia for multiple sclerosis or a brain tumor (brain, spinal).

Back pain can be so similar to the symptoms of a herniated disc that the patient tries to be treated with folk remedies for this disease, without turning to specialists. But when conducting an MRI, doctors establish a diagnosis with full confidence in it at the stage of constant and mild back pain.

Diagnosing the disease at an early stage allows you to take timely measures to reduce the rate of development of the process and relieve some symptoms of the disease, which can lead to disability.

If the cyst is localized in parts of the brain, respiratory function may be impaired, and the help of a doctor will be absolutely necessary to save the patient’s life. Other bulbar symptoms lead to speech disorders, swallowing, and loss of voice. Therefore, if you have any suspicions, it is better to contact a neurologist without wasting precious time.

Disease prognosis

If the true form of the disease does not show significant progress, then the patient may not be prescribed any medications. In this case, you will only need constant monitoring by a neurologist in order to detect neurological signs of the development of pathology in time. Syringomyelia cannot be cured, but it is not life-threatening, so doctors only stop the consequences of its progress: loss of sensitivity, movement disorders.

In some cases (approximately 25%), the progression of the disease may be replaced by a relatively stable condition of the patient. About 15% of the total number of people who have cysts found in different parts of the spinal cord do not feel any worsening of their condition at all. Except for cases of syringobulbia (cyst formation in the respiratory center), the prognosis of the disease is relatively favorable. Syringomyelia develops very slowly and most often does not lead to complete loss of mobility.

Disability with syringomyelia can occur if the anomaly is not detected in a timely manner, when the cyst has increased so much that some of the nerve cells have died from the pressure. When cavities are localized in the thoracic spinal cord, paralysis and paresis of the upper limbs occur. Then treatment comes down to minimizing the consequences.

What can be done for treatment?

The disease detected in the initial stage (proliferation of the medulla) is treated with radiotherapy. In this case, the cells are irradiated to stop their uncontrolled reproduction. But there are other treatment methods that are effective at later stages of the disease.

If neurological symptoms are detected, appropriate medication therapy is administered. Only a neurologist should prescribe drugs to treat the disease. All of these remedies have contraindications, and independent treatment can bring nothing but harm.

The doctor will prescribe dehydrating substances (Furosemide, Acetazolamide, etc.), which will help reduce the amount of fluid in the cyst cavity. To relieve neurological symptoms, neuroprotectors are prescribed (glutamic acid, Bendazole, Piracetam, etc.). To reduce the pain that appears during the development of syringomyelia, doctors use modern analgesics.

Treatment involves an integrated approach, so it will be impossible to help yourself at home. But the patient can help alleviate his condition by attending procedures prescribed by specialists:

massage;
acupuncture;
physiotherapeutic procedures.

To improve neuromuscular conduction, radon baths and special gymnastics can be prescribed.

Massage for syringomyelia includes stroking and rubbing, percussive techniques in the abdomen, chest and back. If sensitivity is lost in these areas, 3–4 courses of 15–20 procedures are prescribed. The use of massage procedures in combination with therapeutic exercises and electrical muscle stimulation for 1 year can achieve a noticeable improvement in the patient’s condition.

Surgery is used only in cases where decompression of the spinal cord or brain is required. In this case, the indication for surgery is a sharply increasing neurological deficit. This symptom is expressed in paresis of the legs and arms caused by compression of nerve cells or their death. During the operation, the cavities are drained and adhesive formations are removed, which generally leads to stabilization of the person’s condition.

Prevention of syringomyelia

Measures to prevent cystic formations in the spinal cord have not currently been developed. Prevention can only be carried out in the direction of preventing the progression of symptoms and limiting situations where the patient may accidentally receive a burn or frostbite, or a household injury.

Due to the fact that the sensitivity of some parts of the body is reduced, a person does not feel pain from a burn and may not notice another injury. In this case, massive blood loss may occur and a severe degree of thermal injury may occur. Often a small wound that is undetected and not treated in time becomes infected.

The development of local inflammation, which in a healthy person will cause pain and the need for the services of a doctor, in case of loss of sensitivity often leads to sepsis.

Prevention of this condition is entirely in the hands of the patient and his relatives, who will have to monitor the timely detection of injury. It is also necessary to take measures to ensure safety at home for such a patient.

By undergoing symptomatic therapy for the manifestations of syringomyelia and carefully following the doctor’s instructions, the patient maintains his usual lifestyle for a long time. Since the process of cyst formation and growth occurs very slowly, doctors are able to respond in a timely manner to changes in the patient’s condition. All he is required to do is follow the recommendations of specialists.

Syringomyelia (G95.0) is a chronic disease of the spinal cord, characterized by the formation of longitudinal cavities as a result of expansion of the central canal, clinically manifested by loss of pain and temperature sensitivity.

Prevalence: 7-9 per 100 thousand people. More common in men (70%).

Possible causes of the formation of cavities in the spinal cord are compression at the level of the craniovertebral junction and the spinal cord, anomalies in the development of the posterior cranial fossa, trauma, spinal cord tumors, degenerative lesions of the cervical spine, spinal canal stenosis at the cervical level.

Characteristic is the gradual onset of clinical manifestations of the disease at a young age with sensory disorders. Patients report that they note a decrease or absence of sensitivity in the upper body and in the arms. In this regard, burns and injuries are often found on these parts of the body. Early manifestations include weight loss and weakness of the small muscles of the hands. You may experience dull, diffuse or vague pain in the arms and upper torso. Patients note blueness of the tips of the fingers and toes, increased humidity or dryness of the skin, and coldness of the extremities. The course of the disease is slowly progressive.

A neurological examination reveals atrophy of the hands with loss of tendon reflexes (60-80%), a decrease in pain and temperature sensitivity while maintaining tactile and muscle-articular sense (segmental nature, “jacket” and “half-jacket”) (up to 100%). As the process progresses, atrophy is observed in the muscles of the arms, shoulder girdle, and first intercostal spaces (50%). Trophic disorders are expressed in the area of the upper extremities and the upper part of the body (acrocyanosis, impaired sweating, pathological dermographism), arthropathy of the joints of the upper extremity (up to 100%). Patients often present with dysraphic signs. When the syringomyelitic process spreads to the brain stem (syringobulbia), nystagmus, bulbar syndrome, and dissociated anesthesia in the facial area are detected.

X-ray of the spine (scoliosis, developmental anomalies, degenerative changes in the spine).
X-ray of affected joints (arthropathy, osteoporosis, osteosclerosis).
Electromyography/electroneuromyography (functional state of segmental levels of the spinal cord and suprasegmental formations).
Percutaneous and direct cystography (allows you to evaluate the shape and size of the syringomyelitic cyst and its connection with the IV ventricle).
Computed and magnetic resonance imaging of the brain and spinal cord in combination with contrast research methods (pneumomyelography, positive myelography) (hydrocephalus, cavities in the spinal cord, their shape, communication of the cavities with the IV ventricle, thickening and thinning of the spinal cord across).

Differential diagnosis:

Myelitis.

Treatment of syringomyelia

Radiotherapy, x-ray therapy.
Symptomatic therapy.
The presence of increasing spinal symptoms and hydrocephalus is an indication for shunt surgery.

Treatment is prescribed only after confirmation of the diagnosis by a medical specialist.

Essential drugs

There are contraindications. Specialist consultation is required.

(a drug that increases smooth muscle contractility). Dosage regimen: subcutaneously, 1 ml of 0.05% solution. There are 20-30 injections per course.
(neuroprotective, analgesic agent). Dosage regimen: intramuscularly, at a dose of 2 ml daily for 5-10 days. Next, after the pain subsides and in mild forms of the disease, they switch to injections of 2 ml 2-3 times a week. for 2-3 weeks, or for therapy with a dosage form for oral administration.
(nootropic drug). Dosage regimen: orally, at a dose of 800 mg 3 times a day. As the condition improves, the single dose is gradually reduced to 400 mg. Daily dose 30-160 mg/kg, frequency of administration from 2 to 4 times/day. The course of treatment is up to 2-6 months. If necessary, the course of treatment is repeated.
(dehydrating agent). Dosage regimen: orally, at a dose of 250-375 mg in the morning, every other day; or 2 days in a row with a one-day break.

Syringomyelia is a chronic disease of the central nervous system in which cavities form in the spinal cord canals. Most often the cervical and thoracic spine are affected, less often the lumbar spine.

In very rare cases, the medulla oblongata is involved in the process. This disease is quite rare and most often occurs in men.

Mechanism of disease development

As a result of the development of the disease, the spinal canal expands, after which the fluid flowing through it encounters obstacles, bends around them, and cavities appear in places where this bypass occurs. Over time, glial cells begin to grow in these cavities.

These cells are auxiliary cells of nerve tissue; nerve impulses are not transmitted through them. The absence of nerve impulses between the spinal cord and organs leads to the appearance of the main symptoms characteristic of syringomyelia.

Several decades may pass from the onset of the disease to the first symptoms.

There are two types of disease:

Communicating syringomyelia - the resulting cavities connect to the spinal cord canal.
Uncommunicative syringomyelia – cavities are isolated from the canal.

Main reasons

The reasons that can cause a violation are divided into two types:

Primary– these include congenital disorders of embryo development. In this case, the formation of cavities occurs in the first three months of intrauterine development. Factors contributing to this may include taking certain medications, drinking alcohol, smoking and other unfavorable factors, and heredity. In more than 80% of cases, congenital syringomyelia is accompanied by dysraphic status.
Secondary– these include some diseases (inflammation of the membranes of the brain), injuries, and surgical interventions.

Symptoms of the disorder and diagnosis

The disease develops long and slowly, so in the early stages symptoms do not appear. As a rule, the first symptoms appear in childhood, but they are so minor that they are often ignored. More serious symptoms appear at the age of 20-30, and at this time syringomyelia is most often diagnosed.

A doctor can suspect syringomyelia based on three characteristic groups of disorders:

If cervical syringomyelia is observed, then these symptoms are accompanied by Horner's syndrome, manifested in retraction of the eyeball, drooping eyelids and dilated pupils.

The diagnosis is made mainly on the basis of existing symptoms. As a rule, they are so characteristic that the diagnosis is beyond doubt.

The photo shows syringomyelia of the cervical spine

If the neurologist needs confirmation, he will prescribe additional examinations. These include x-rays, which can be used to see osteoporosis, bone destruction. They can also do myelography or lumbar puncture. These methods allow you to see cavities in the spinal cord.

Medical assistance - what do doctors do?

Syringomyelia is an incurable disease. Therefore, the main goal of its treatment is to eliminate symptoms and stop the disease itself.

There are several ways to treat the disorder:

Treatment of syringomyelia disease occurs throughout the patient’s life. The methods and scope of methods used depend on the stage of the disease. Drug treatment is carried out in courses from two to four times a year.

Disease prognosis

True syringomyelia is not fatal, but significantly worsens the patient’s quality of life. In most patients, periods of exacerbation and remission alternate. In a small number of patients the disease does not progress at all. At later times stages of the disease leads to disability of the patient.

The course of the disease is much worse if it is complicated by infectious diseases. In this case, the likelihood of developing sepsis, bronchopneumonia, kidney disease and the genitourinary system increases.

A fatal outcome can occur if not only the spinal cord, but also the medulla oblongata is involved in the process. In this case, frequent complications include breathing disorders () and swallowing, which leads to the death of the patient. Most often, complications occur with secondary syringomyelia.

Prevention methods

Unfortunately, at the moment there are no primary methods for preventing the disease.

Since one of the factors that can provoke a disorder is spinal injury, as well as various types of infections, preventive measures include avoiding injuries, as well as their serious treatment.

Secondary prevention measures include early diagnosis. Detection of the disease at an early stage makes it possible to apply effective treatment methods, slow down the course of the disease and significantly prolong the patient’s working capacity.

Syringomyelia of the cervical and thoracic spine is a disease in which several pathologies are observed at once. Syringomyelia cannot be called an independent disease; it develops against the background of several disorders of the functioning of the spine.

With this disease, the spinal cord in the cervical and thoracic vertebrae is damaged. Cysts form in it - small cavities with fluid. It is the cyst that has a negative effect on the brain and causes symptoms of syringomyelia.

Syringomyelia is a pathology that can itself be a symptom of serious spinal diseases, such as a tumor or injury. In rare cases, spinal cord syringomyelia occurs without a specific cause. This type of disease is called idiopathic.

What is syringomyelia?

Syringomyelia of the cervical and thoracic spine is an incurable disease that can be acquired or congenital. Congenital syringomyelia is inherited, most often through the male line, its first symptoms appear at about 30 years of age, but can occur much later.

The danger of syringomyelia is that the disease can spread above the cervical and thoracic regions and enter from the spinal cord into the medulla oblongata, which is an important part of the brain. A complication of syringomyelia can be the destruction of not only the spinal cord, but also the bone tissue of the thoracic and cervical spine. This pathology is quite rare and still does not have an exact scientific explanation, since with other causes of spinal cord destruction such extensive damage to the integrity of bone tissue is not observed.

The process of cyst formation is explained by the massive death of glial tissue cells. When there is injury or disease of the spine, glial tissue begins to grow rapidly, then these same cells quickly die, and a cavity forms in their place. After some time, fluid enters the cavity through other cells of the spinal cord. It gradually fills them to the limit, and then begins to expand and increase - a cyst is formed. The cyst begins to put pressure on other parts of the spine, mainly on other nerve cells. Gradually, active neurons begin to die, and the person’s motor activity is impaired.

Causes of the disease

The exact cause of the development of syringomyelia has not yet been scientifically substantiated or established. At the same time, doctors put forward several scientific hypotheses for the occurrence of a pathological condition of the spine.

Syringomyelia symptoms

With true, congenital syringomyelia of the thoracic and cervical spine, the following signs may be observed, which may appear during the intrauterine development of the child:

congenital scoliosis and deformed chest;
development of malocclusion and jaw abnormalities (high palate);
the presence of more than one pair of mammary glands (in women) or nipples (in men);
the disease leads to such deformities as ear dysplasia, bifurcated tongue, and the presence of extra fingers and toes.

The symptoms of acquired syringomyelia vary significantly. The cause of their occurrence is associated with those parts of the spinal cord where the cyst or several cysts appeared. If disturbances affect the posterior horns of the spinal cord, a person’s perception of the outside world through sensations, primarily tactile, is significantly affected. This can become dangerous not only for health, but also for human life.

Syringomyelia of the cervical and thoracic spine affects the heat sensitivity of human skin. Its violation leads to the fact that the patient cannot adequately sense the temperature of objects and liquids, so patients with syringomyelia often experience burns. Areas may appear on the body that may be completely or partially deprived of sensitivity, and a person may feel a slight tingling in these places, the appearance of “goosebumps” and slight trembling. Typically these symptoms appear in the upper parts of the body. Over time, they are complemented by aching pain in the neck, shoulder blades, chest and upper limbs.

The disease provokes neurotrophic skin disorders:

wounds do not heal well;
a lot of scars appear on the skin from minor cuts and burns;
the skin begins to deform along with the joints and bones;
the skin gradually becomes thicker, dries out and flakes off.

If syringomyelia damages the anterior horn of the spinal cord, symptoms indicate gradual atrophy of the muscles of the upper extremities. Over time, it becomes increasingly difficult for a person to control his arms, shoulders and neck, and a disturbance in the motor activity of the eyeballs may develop.

When a cyst forms in the lower parts of the brain, the functioning of the facial muscles is disrupted. A person may partially or completely lose facial expressions, it becomes difficult for him to speak, swallow, move his jaws and tongue, and his face may become distorted.

Treatment of syringomyelia

For syringomyelia, treatment is supportive in nature and is aimed primarily at reducing the symptoms of the disease. Typically, syringomyelia of the cervical and thoracic spine practically does not progress, but does not decrease. The sluggish nature of the disease rarely has a significant negative impact on a person’s performance and does not in any way affect life expectancy. The only exception is a cyst that is located directly in the medulla oblongata, as it affects breathing and nutrition.

Syringomyelia can be cured if treatment is aimed at stopping the proliferation of glial cells. To do this, when diagnosing the possible formation of a cyst, the patient is injected with a certain amount of radioactive phosphorus or iodine. By irradiating cells, radioactive elements destroy them and prevent tissue from growing further.

If syringomyelia has already occurred, it can be treated with medication under the supervision of a neurologist. Treatments include dehydrating agents that help remove excess fluid from tissues, neuroprotectors, and, for severe pain, analgesics in the form of injections.

Vitamin courses and massage are used as additional therapy. Massage for syringomyelia helps speed up the outflow of fluid from the spinal cord. It can also prevent the formation of cysts after hemorrhages in the spinal cord or injuries.

Treatment of true syringomyelia of the cervical and thoracic spine occurs with the help of surgery.

In this case, drug treatment can only partially alleviate the symptoms of the disease. A complete cure for true syringomyelia is almost impossible.

Surgery is also mandatory if a cyst appears in the case of a malignant tumor.

Syringomyelia is a disease of the nervous system, characterized by expansion of the spinal cord canal, the formation around it of many small cavities that are completely filled with cerebrospinal fluid (a special fluid that ensures metabolism in the brain and its nutrition). The disease occurs in a chronic form, it is diagnosed in people of different ages and genders, but men suffer from syringomyelia more often than women.

It is important to identify the pathological process in the early stages of development and begin the necessary therapy; lack of medical assistance leads to serious health problems, including disability of the patient. According to statistics, the prevalence of the disease is 8-9 cases per hundred thousand people.

Syringomyelia: what kind of disease is it?

In most cases, syringomyelia is diagnosed in the cervical spine. It is important to understand that the pathological process is not an independent disease, but is considered a syndrome; it accompanies other ailments that are characterized by compression of the subarachnoid space at the level of the craniovertebral junction of the patient’s cervical or thoracic spinal cord.

Syringomyelia (ICD-10 code G 95.0) has not been fully studied, but scientists put forward a lot of theories about the reasons for its formation. Modern views on pathology suggest that the mechanism of development of the disease is an abnormal circulation of cerebrospinal fluid in special pathways of the central nervous system of the victim intended for cerebrospinal fluid.

Normally, cerebrospinal fluid is formed in the choroid plexuses of the ventricles of the brain and is absorbed into the blood by special parts of the brain and spinal cord. Throughout the day, the liquid is renewed up to five times. Violation of this process leads to improper or insufficient absorption of cerebrospinal fluid, which provokes a lot of pathologies, including syringomyelia.

The pathological process is influenced by many factors, given their diversity, doctors have divided syringomyelia into several types:

the pathological condition is formed against the background of an anomaly in the structure of the posterior cranial fossa (basilar impression, tumors, Arnold-Chiari malformation);
post-traumatic form. The outflow of cerebrospinal fluid is disrupted as a result of various traumatic injuries;
complications of neurological infections (eg, meningitis);
presence of spinal cord tumors;
a form of pathology not associated with compression of spinal tissue (in the cervical, thoracic region, the presence of large foci of demyelination of the spinal cord against the background of multiple sclerosis);
idiopathic form. The exact causes of the pathology are not known to science.

Classification

In addition to the above-described forms of syringomyelia, doctors identify several other types of pathological condition, depending on the location of the cavities in the spinal cord:

cervicothoracic. From the name it is clear that the problem area is located in the cervical or thoracic spine of the victim;
bulbar. Liqueur cysts are located in the medulla oblongata;
lumbosacral. Cysts filled with cerebrospinal fluid are located in the lumbar region;
mixed. The pathological process is observed in several areas of the patient’s spinal cord at once.

Clinical picture

As the pathological process slowly progresses, a specific clinical picture is formed:

thinning of the muscles of the limbs, severe pain in the torso, limbs (upper);
amyotrophy;
disruptions in the nutrition of the skin (long-term non-healing ulcers, swelling, necrosis of soft tissues, increased sweating, dysfunction of joints);
dysraphic status (pathology of the formation of the neural tube of the fetus during intrauterine development). The process manifests itself with unpleasant signs: too small eyes, bifurcation of the lower lip, curvature of the spine, the presence of a huge number of birthmarks, and a nonspecific shape of the ears.

On a note! Syringomyelia is characterized by a gradual onset of unpleasant symptoms. The first signs of the disease are observed at a young age with loss of sensitivity of the upper extremities and torso; burns and various traumatic injuries are often noted in these places. Also, many victims complain of sudden weight loss and weakness in the hands. In some cases, blueness of the fingertips and dry skin are observed.

Diagnostics

Only a specialist can make a correct diagnosis; it is difficult to independently understand the specific picture of syringomyelia. At the initial appointment with the doctor, the physician will find out the characteristics of the victim, study family history, the presence of previous injuries, and infectious diseases.

A neurological examination of the patient involves determining sensitivity, the nature of pain, and assessing muscle tone. An important role is played by examining the skin: the presence of scars, ulcers, swelling.

The patient is prescribed the following diagnostic procedures to confirm the diagnosis:

CT, MRI of the spinal cord. Manipulations make it possible to assess the condition of the spinal cord, identify changes in the central canal, and the location of cerebrospinal fluid cysts;
electroneuromyography. A specialist studies the spinal cord, identifying signs of damage, disturbances in the conduction of nerve impulses;
radiography allows you to assess the condition of the spine, the presence of affected joints (osteoporosis, arthropathy, osteosclerosis).

Based on the data obtained, the preliminary diagnosis is confirmed or refuted, and the patient is prescribed the necessary therapeutic course.

General rules and methods of treatment

At the moment, there is no effective treatment for syringomyelia. The disease slowly but definitely progresses. Therapy consists of eliminating the symptoms of the pathological condition and delaying the disability of the victim.

Conservative treatment options

Treatment options for syringomyelia:

massage of the collar area. Manipulations trigger the process of blood circulation and nutrition of cells to this area. Massage helps relieve pain and improve the outflow of cerebrospinal fluid, which leads to a reduction in the size of cysts. It is important to rub not only the collar area, but also the neck, shoulders, and arms;
acupuncture, physical therapy. Exercises are selected by the doctor, which allows you to improve the mobility of the upper limbs and reduce discomfort;
special diet. Include B vitamins, these substances have a beneficial effect on nervous tissue and improve overall well-being. An important role is played by the patient’s body obtaining protein. Lack of protein leads to loss of muscle mass and metabolic disorders;
drug therapy consists of using painkillers and, if necessary, neuroprotectors (all medications are selected by a physician, taking into account the nature and severity of pain and injuries).

Folk remedies and recipes

Natural drugs help improve the conductivity of nerve impulses and increase sensitivity:

chestnut. Use finely chopped chestnut bark (pour a tablespoon of chestnut bark into 400 ml of cold water). The next morning, strain the infusion, take a quarter glass several times a day. The duration of therapy is indicated by the specialist;
clover. For 200 ml of boiling water, take three teaspoons of raw materials, leave for three hours, strain the finished healing product. Take the medicine three times a day after meals, 50 ml. You don’t have to throw away the clover grass; use it for compresses;
black cohosh. Finely chop the roots of this plant, pour alcohol in a ratio of 1:5. Infuse the medicine for a week, then strain. Take 25 drops of the prepared product three times a day; it is recommended to dissolve the medicine in cold water (no more than 50 ml).

Before starting to take natural medicines, consult your doctor. It is recommended to combine home remedies with medications and other therapy methods.

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Surgery

Surgery is resorted to in extreme cases; most doctors prefer watchful waiting, which is combined with symptomatic therapy. The operation involves dissection of the central canal of the spinal cord, which improves the passage of cerebrospinal fluid and has a beneficial effect on nutrition and metabolic processes in the victim’s brain.

Forecast

About 60% of patients suffer from a chronic, slowly progressive form of syringomyelia; in these patients, in most cases, an idiopathic type of pathology is diagnosed. About a quarter of patients suffer from acute attacks of the disease, which are followed by protracted periods of remission. Only in 15% of victims the disease does not progress. Scientists still do not know what is causing this state of affairs.

The prognosis for most victims is favorable, syringomyelia progresses slowly (in the case of adequate and timely therapy), which allows them to remain able to work for a long period of time, avoiding disability. Severe health consequences are observed with syringobulbia (a type of syringomyelia) due to the involvement of the respiratory center and the nuclei of the vagus nerve in the process. Unfortunately, this pathology quickly leads to death.

Primary prevention of syringomyelia has not yet been invented, given the idiopathic nature of the pathology.

avoid hypothermia, treat all infectious diseases in a timely manner, observing bed rest;
Avoid heavy physical work; frequent exposure to the open air and wet areas is not recommended;
take care of the damaged limb, it is important to prevent the appearance of burns and other wounds that will lead to the formation of ulcers that do not heal for a long time;
For patients suffering from syringomyelia, alcohol and tobacco are strictly contraindicated. Normalize your diet, include fresh vegetables, fruits, lean meat;
rest for the prescribed number of hours, visit the doctor regularly.

Syringomyelia is a dangerous pathological condition that threatens human health and life. It is important to consult a doctor in time for help and begin treatment. It is quite difficult to prevent the disease, but playing sports will help strengthen the immune system and minimize the risks of developing a dangerous disease.

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