Posttraumatic syringomyelia can be a subtle entity initially. Its variety of clinical features, awareness of the early clinical manifestations is a necessary adjunct in preventing disabling sequelae. Because the clinical manifestations of
posttraumatic
syringomyelia are variable and subtle, physicians who care for patients with spinal cord injury should be aware of the signs and syringomyelia. Pain and autonomic symptoms should alert the physician to the possibility of this entity as initial
symptoms.
It can be suggested that as the location of syringomyelia is near the center of the spinal cord of the intermediolateral cell column and lateral reticulospinal tract, which related to control of the sympathetic nervous system, central cysts of
the
spinal cord can be expected to interfere with sympathetic function. We examined the eight spinal cord injure patients for the newly developed problems of aggravation of pain, orthostatic hypotension, excessive sweating, anhydrosis, autonomic
hyperreflexia, aggravation of spasticity and paroxysmal episodes of unconsciousness following stable period of fixed neurologic and medical state after traumatic spinal cord injury. In three of there 8 patients, magnetic resonance imaging
confirmed
the
presence of posttraumatic syringomyelia.
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