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  • Title: Syringopleural shunt for refractory syringomyelia: how I do it.
    Author: Perrini P, Benedetto N, Vercelli A, Di Carlo DT.
    Journal: Acta Neurochir (Wien); 2023 Oct; 165(10):3039-3043. PubMed ID: 37336834.
    Abstract:
    BACKGROUND: Surgical treatment of syringomyelia is directed at the reconstruction of the subarachnoid space and restoration normal cerebrospinal fluid flow. Direct intervention on the syrinx is a rescue procedure and should be offered to patients with refractory syringomyelia. METHODS: We provide an overview on indications and technique of syringopleural shunt (SPS). The procedure involves the connection of syrinx with the pleural space using a lumboperitoneal shunt. The occurrence of a negative pressure inside the pleural compartment offers an appropriate gradient for drainage from the syrinx. CONCLUSIONS: The SPS allows for a safe and effective treatment of persistent syringomyelia when management of the underlying cause does not yield substantial improvement.
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