Q7: Does syringomyelia not relapse after surgery?

The treatment of congenital syringomyelia is by decompressing posterior fossa and cutting off cerebellar tonsillectomy to rebuild normal circulation of cerebrospinal fluid. On the other hand, the treatment of acquired syringomyelia is to get rid of the causes of getting syringomyelia. For example, tumor, adhesion, infection or scoliosis. By decompressing nerves properly, to rebuild normal circulation of cerebrospinal fluid.

The degree of recovery after surgery depends on patient's age, physique, and the severity of nerve damage before surgery. If the patient feels painful, numb, cold and hot, which means sensory nerve is injured. Therefore, by surgery and medication can achieve 80% success. However, if the patient has muscle atrophy or incontinence, surgery and medication can only achieve 50% success. They have to do long period of rehabilitation.

Whether the patient will relapse or not, it depends on the severity of disease and the length of time. If the patient is suitable for traditional drainage tube surgery, because drainage tube diameter is small, almost 60% of patients will relapse. If the patient is suitable for decompression and reconstruction of cerebrospinal fluid circulation surgery, according to recent research results, only 8%~10% patients will relapse.

The common result of relapse is infection. For example, tuberculosis and the patient with crab foot swelling, they are easily to cause soft tissue hyperplasia resulting in nerve adhesion.