Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

Preparation for Surgery for Syringomyelia in Children

This page was last updated on January 24th, 2023

Indications for Procedure

  • Symptomatic or radiographic progression: Enlarging syringomyelia with progressive neurological symptoms and signs should be treated. The decision is far more complex when a patient is asymptomatic or when symptoms cannot be clearly attributed to the syrinx. In this case, careful consideration of other options should be taken, including close observation in cases where the syrinx is small and symptoms are not entirely clear.
  • Failure in treatment of etiology: Again, the best way to manage syringomyelia is to treat the underlying etiology. Occasionally, direct drainage of the syringomyelia cavity is warranted due to failure of primary treatment or when the syrinx is caused by diffuse arachnoiditis.

Preoperative Orders

  • Routine

Anesthetic Considerations

  • None

Devices to Be Implanted

  • Tubing for shunt: Devices for direct syrinx shunting include simple silastic tubes or small flexible T tubes that are designed specifically for syrinx drainage. These can be directed to the subarachnoid space and anchored or tunneled into the pleural or peritoneal spaces as needed.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.