case_images: PMC3927095_01
case_images: Initial magnetic resonance imaging in 2003 showing a large syringomyelic cavity extending from the C1 level to the conus (a and b). Head computed tomography and MR angiography reveal hydrocephalus and multiple aneurysms (c and d)
case_images: SNI-5-6-g001.jpg
case_images: PMC3927095_01_SNI-5-6-g001.jpg
case_images: F1
case_images: She had CM1 with cerebral hydrocephalus and a large syringomyelia extending from C1 level to the conus [Figure 1].
case_images: MR images (a) T1-weighted image, (c- f) T2-weighted images) show a heterogeneous mass on the caudal end of the syringomyelic cavity suggesting hematomyelia. Partial gadolinium enhancement is revealed at the centre of the hematomyelia (b, arrowed)
case_images: SNI-5-6-g002.jpg
case_images: PMC3927095_01_SNI-5-6-g002.jpg
case_images: F2
case_images: Both T1- and T2-weighted images showed a heterogeneous mass on the caudal end of the syringomyelic cavity, suggesting hematomyelia [Figure 2].
case_images: Postoperative MR images of the lumbosacral lesion (a) T2-weighted sagittal image (b) T2-weighted axial image at the T12 vertebral level (c) T2-weighted axial image at the L1 vertebral level and (d) at the L2 vertebral level revealing shrinkage of the hematoma cavity with peripheral hemosiderin deposition
case_images: SNI-5-6-g003.jpg
case_images: PMC3927095_01_SNI-5-6-g003.jpg
case_images: F3
case_images: Repeated MR imaging performed up to 3 years after the operation showed marked reduction of spinal cord diameter and shrinkage of the syringeal cavity [Figure 3].