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KMID : 1189320120060010001
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Asian Spine Journal
2012 Volume.6 No. 1 p.1 ~ p.5
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Missed Diagnosis of Syrinx
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Oh Chang-Hyun
Kim Chan-Gyu
Lee Jae-Hwan
Yoon Seung-Hwan
Park Hyeong-Chun
Park Chong-Oon
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Abstract
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Study Design: Prospective, randomized, controlled human study.
Purpose: We checked the proportion of missed syrinx diagnoses among the examinees of the Korean military conscription.
Overview of Literature: A syrinx is a fluid-filled cavity within the spinal cord or brain stem and causes various neurological symptoms. A syrinx could easily be diagnosed by magnetic resonance image (MRI), but missed diagnoses seldom occur.
Methods: In this study, we reviewed 103 cases using cervical images, cervical MRI, or whole spine sagittal MRI, and syrinxes was observed in 18 of these cases. A review of medical certificates or interviews was conducted, and the proportion of syrinx diagnoses was calculated.
Results: The proportion of syrinx diagnoses was about 66.7% (12 cases among 18). Missed diagnoses were not the result of the length of the syrinx, but due to the type of image used for the initial diagnosis.
Conclusions: The missed diagnosis proportion of the syrinx is relatively high, therefore, a more careful imaging review is recommended.
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KEYWORD
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Syrinx, Diagnosis proportion, Conscription, Korea
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