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Dr. Andrew Rynne

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Diagnosed With Spinal Syrinx. Pain In The Arms And Legs, Nausea, Chest Tightness, Dizziness. Should I See A Neurologist?

Hello, I have been diagnosed with a spinal syrinx last October, have seen a Neurologist and was told at this point there is not a lot they can do. I was told I did not have a Chiari Malformation , but have sure signs of it, like pain in arm and legs, constant nausea, chest tightness, dizziness, tingling to name a few. I do have a lot of nerve pain around my middle back right side. I am really concerned that something is overlooked or missed in my case. I have been put on 2700mg of Gabapentin , but have not have great relief. Should I be referred to a Neurologist or even Neurosurgeon again? Or any other help for my condition?
Fri, 22 Mar 2013
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Neurologist,  's  Response
Hi,



Thank you for posting your query.



Syrinx refers to cavitation with fluid accumulation within the spinal cord. The symptoms depend on the extent and severity of the syrinx.



There is no medical treatment for syrinx. The definitive treatments are with surgery such as syringostomy.



Also, one needs to exclude secondary causes of syrinx formation such as Chiari malformation, hydrocephalus, tumors, infections, etc.



Please have a review with a neurosurgeon.



Please get back if you require any additional information.



Best wishes,



Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)

Senior Consultant Neurologist

Apollo Hospitals, Hyderabad,

My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar

My email: drsudhirkumar@yahoo.com
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Diagnosed With Spinal Syrinx. Pain In The Arms And Legs, Nausea, Chest Tightness, Dizziness. Should I See A Neurologist?

Hi, Thank you for posting your query. Syrinx refers to cavitation with fluid accumulation within the spinal cord. The symptoms depend on the extent and severity of the syrinx. There is no medical treatment for syrinx. The definitive treatments are with surgery such as syringostomy. Also, one needs to exclude secondary causes of syrinx formation such as Chiari malformation, hydrocephalus, tumors, infections, etc. Please have a review with a neurosurgeon. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com