Thank you, Claire -- very nice summary. I will add that over the last 14 years we have not had a repeat surgery. I do exactly what you illustrated here (FMD, duroplasty, and SIS). I suture the SIS over the duroplasty defect and then place an autologous fat graft over the site. Like you, we don't have all the follow-up we would like, but in a coupe of cases, the repeat MRI at 3 years has shown the fat graft in place. Significant reduction in the syrinx, as you have said, is uncommon, but improvement is not uncommon -- at least on all of our follow-ups, we have always seen improvement -- usually with medications, sometimes not. I will say that we have seen a reduction in the syrinx in patients we perform this at less than 2 years of age. Many thanks! Andy
Thank you very much for the lectures and books about Syringomyelia! Prof. Rusbridge, could you please tell me, is it possible to get your online consultation? Is there an online appointment? We live in another country, my Cavalier King Charles Spaniel has Chiari and Syringomyelia (According to MRI, extension of the central channel in the area C1-Th1, up to a maximum of 7.7x6.5 mm). The dog is 11 months old; a veterinary neurologist recommends not to take gabapentin, but to do surgery (foramen magnum decompression). We have some doubts. There is an MRI disk and a video of symptoms (phantom scratching), if a consultation is possible, please let me know. Thanks a lot!
