Postoperative care of syringomyelia_0.doc

 PAGE \* MERGEFORMAT 7 Postoperative care of syringomyelia [Keywords:] Syringomyelia; surgery; Care Syringomyelia is a slow process, mainly involving degeneration of the spinal cord or the medulla, characterized by the pathological expansion of the central canal of the spinal cord, intramedullary water and gliosis, clinical manifestations of impaired segments Separation of sensory dysfunction, upper and lower motor neuron and autonomic dysfunction characterized by nutritional disorders, the earliest clinical manifestations of unilateral pain, temperature sense obstacles [1] .2005 December to June 2009, 35 cases of hospital surgery syringomyelia, results were satisfactory , now post-operative care are summarized below. 1 Clinical data 1.1 General Information 35 cases including 25 males and 10 females; aged 19 to 72 years, mean 43 years; a history of 2 months to 10 years, MRI .20 patients diagnosed with double lower limb weakness, numbness mainly accompanied by headache, dizziness or symptoms such as unsteady gait; 10 cases of a simple sensory dysfunction; 5 patients with mild headache, dizziness, as the first symptom. 1.2 Procedures Posterior fossa decompression alone in 3 cases, empty subarachnoid shunt in 2 cases, posterior fossa decompression cavity 30 cases of subarachnoid shunt. 1.3 Results 35 patients in this group 9 cases were cured, 26 cases improved. After 1 to 3 years follow-up, the group to double lower limb weakness, numbness, mainly the 20 patients, 8 patients feel isolated symptoms, MRI review see significant changes syringomyelia small or basic atresia; symptoms improved in 10 cases, has returned to normal work and labor; 2 cases of termination of the development of the disease, the symptoms improved. 2 post-operative care 2.1 Posture Taken back to the ward after the patient supine or lateral position, head to one side when supine. Turning the attention of head, neck, trunk to maintain the same level, so as not