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Delayed presentation of syringomyelia after retrosigmoid craniectomy and resection of vestibular schwannoma: discussion of mechanisms
  1. Chinedu Brian Egu,
  2. Ashwin Kumaria,
  3. Alistair Paterson and
  4. Iain Robertson
  1. Department of Neurosurgery, Queen's Medical Centre, Nottingham, UK
  1. Correspondence to Dr Chinedu Brian Egu; Chinedu.brian.egu{at}


We present a case of syringomyelia following retrosigmoid craniectomy and resection of vestibular schwannoma complicated by Cerebrospinal fluid (CSF) leak, multiple infections and CSF diversion procedures. We believe this is the first reported case of syrinx formation after this type of surgery. Potential mechanisms by which the syrinx may have developed are discussed.

  • spinal cord
  • brain stem / cerebellum
  • neurological injury

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  • Contributors CBE and AK were the lead author for this case report, leading the initial patient care and management and leading the writing of the manuscript. IR was the consultant in charge during the case, was actively involved in decision-making and patient treatment, and contributed to the manuscript. AP was the SHO on call, he was actively involved in the patient treatment and contributed to the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.