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From the Department of Neurology and Rehabilitation (Drs. Bogdanov and Mendelevich), Kazan State Medical University, and Interregional Clinical Diagnostic Center (Dr. Mikhaylov), Kazan, Russia; Surgical Neurology Branch (Dr. Heiss), National Institute of Neurological Disease and Stroke, NIH, Bethesda, MD; and Department of Neurology (Dr. Haass), University of the Saarland, Homburg/Saar, Germany.
Address correspondence and reprint requests to Dr. E.I. Bogdanov, Department of Neurology and Rehabilitation, Kazan State Medical University, Butlerov str. 49, Kazan, Russia 420012; e-mail: enver_bogdanov{at}mail.ru
In some adult patients with cervical syringomyelia, MRI studies do not identify primary disease within the foramen magnum or spinal canal. To identify the etiology of this idiopathic type of syringomyelia, clinical features and posterior fossa (PF) measurements from 17 of these patients, 17 patients with Chiari I-type syringomyelia, and 32 control subjects were compared. Idiopathic syringomyelia and Chiari I-type syringomyelia manifested central cervical myelopathy and a small PF with narrow CSF spaces, suggesting that they develop by the same mechanism.
Received February 14, 2003. Accepted in final form November 6, 2003.
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