Siringomieli dan penanganannya Laporan kasus
ABSTRACT Syringomyelia is a chronic progressive degenerative disorder of the spinal cord, characterized clinically by brachial amyotrophy and segmental sensory loss of dissociated type. Pathologically shows cavitation in the central parts of the spinal cord, usually at the cervical region but extend...
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| Format: | Article NonPeerReviewed |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
1998
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| Online Access: | https://repository.ugm.ac.id/20905/ http://i-lib.ugm.ac.id/jurnal/download.php?dataId=3763 |
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| Institution: | Universitas Gadjah Mada |
| Summary: | ABSTRACT
Syringomyelia is a chronic progressive degenerative disorder of the spinal cord, characterized clinically by brachial amyotrophy and segmental sensory loss of dissociated type. Pathologically shows cavitation in the central parts of the spinal cord, usually at the cervical region but extending upward into medulla oblongata and pons or downward into the thoracic or even the lumbar segments. This disorder doesn't product weakness of the limb. The early symptom, was weighty and stiffness of the neck, and painful of the right arm. After four years her right shoulder was pain too and there was anesthesia, with Magnetic Resonance Imaging we knew that she had syringomelia in the carvical area. She became exellent outcome after shunting. Conclusion : the case was the shoulder arm syndrom case with segmental anesthesia which was becoming worst, it should be suspecious of syringomelia and it must be treated by establishing shunt.
key word : syringomyelia - brachial amyotrophy - anesthesia - magnetic resonance imaging.
"Siringomieli" adalah suatu gangguan degeneratif dari medulla spinalis yang kronik progresif, yang ditandai secara klinik dengan "amiotrofi brakhialis" dan kehilangan rasa segmental dengan type "dissosiasi", secara patologik dengan adanya ruangan pada daerah servikal tetapi dapat meluas ke atas ke medula oblongata dan pons atau ke bawah sampai segmen torakal dan lumbal. Pada kasus ini tidak ada kelemahan anggota gerak. Simptom awal, penderita merasa berat dan kekakuan pada leher, lengan kananya terasa nyeri. Setelah empat tahun, bahu kanannya juga nyeri dan ada anestesia dengan alat Magnetic Resonance Imaging dapat diketahui bahwa dia mempunyai "siringomieli" pada daerah servikal. Dia menjadi baik setelah dipasang "shunt". Kesimpulan Kasus Shoulder arm syndrome dengan anestesi sesegmen yang makin lama makin menjadi jelek patut dicurigai adanya "siringomieli" dan harus dilakukan shunting atau pengaliran cairannya. |
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