Syringomyelia
I have symptoms of syringomyelia, including pain in my right neck, right shoulder, the area below the right shoulder, and pain in the right hand's thenar eminence, along with numbness in my left foot.
Are there hospitals or doctors in the northern region that can treat syringomyelia so I can seek medical attention?
A Shan, 60~69 year old female. Ask Date: 2024/03/31
Dr. Jiang Junyi reply Neurology
Dear Mr.
A-Shan,
You mentioned "the pain associated with syringomyelia..." The cause of syringomyelia is the accumulation of fluid within the spinal cord, which compresses the nerves and leads to symptoms such as sensory abnormalities, urinary and fecal incontinence, headaches, neck pain, and even limb weakness.
These symptoms tend to worsen over time, with an incidence rate of approximately 2-4 cases per 100,000 individuals.
Follow-up: Magnetic Resonance Imaging (MRI) is a powerful tool for diagnosing syringomyelia, as it helps visualize any cavities or tumors within the spinal cord.
Physicians may also inject contrast agents to obtain more comprehensive imaging.
Typically, follow-up is necessary to determine the appropriate timing for surgical intervention.
It is advisable to consult with a neurosurgeon who specializes in this area, as they have more experience with surgical treatments.
When considering cross-regional medical care, it is recommended to prepare all relevant information, including current medications, blood test reports, imaging data, previous hospitalization records, and outpatient medical records, to avoid any information gaps.
Thank you for your inquiry.
Feel free to discuss further.
Wishing you good health and peace,
Dr.
Jiang Jun-Yi
Department of Neurology, Taoyuan Hospital
Reply Date: 2024/03/31
More Info
Syringomyelia is a serious neurological condition characterized by the formation of a fluid-filled cyst, or syrinx, within the spinal cord. This condition can lead to a variety of symptoms, including pain, weakness, and sensory disturbances, as you have described. The symptoms you are experiencing, such as pain in the neck, shoulder, and hand, along with numbness in the left foot, are indicative of the potential impact of syringomyelia on the spinal cord and surrounding nerves.
In Northern Taiwan, there are several hospitals and specialists that are well-equipped to diagnose and treat syringomyelia. Here are some recommendations:
1. National Taiwan University Hospital (NTUH) - This hospital is one of the leading medical institutions in Taiwan and has a dedicated neurology department. They have specialists who are experienced in treating syringomyelia and related conditions. You can consult with neurologists or neurosurgeons who can provide comprehensive care, including diagnostic imaging and potential surgical interventions if necessary.
2. Taipei Veterans General Hospital - This hospital is renowned for its neurology and neurosurgery departments. They have a team of specialists who are familiar with syringomyelia and can offer both medical and surgical treatment options. The hospital is also equipped with advanced imaging technologies to accurately assess the condition.
3. Chang Gung Memorial Hospital - With multiple branches in Northern Taiwan, Chang Gung Memorial Hospital is another excellent option. Their neurology and neurosurgery departments have specialists who can provide care for syringomyelia. They also have a strong emphasis on research and may offer access to clinical trials for new treatments.
4. Taipei Medical University Hospital - This hospital has a neurology department that can provide evaluation and treatment for syringomyelia. They may also have specialists who focus on pain management, which could be beneficial given your symptoms.
5. Shuang Ho Hospital - Affiliated with Taipei Medical University, this hospital has a neurology department that can assist with the diagnosis and management of syringomyelia. They may also have a multidisciplinary team that includes pain specialists.
When seeking treatment, it is essential to have a thorough evaluation, which may include MRI scans to assess the size and location of the syrinx, as well as to rule out any other potential causes of your symptoms. Treatment options may vary depending on the severity of your condition and could include:
- Monitoring: If the syrinx is small and not causing significant symptoms, your doctor may recommend regular monitoring.
- Medications: Pain management may involve medications such as analgesics or anti-inflammatory drugs.
- Surgery: In cases where the syrinx is causing significant symptoms or complications, surgical options may be considered. This could involve draining the syrinx or addressing any underlying issues, such as Chiari malformation, which is often associated with syringomyelia.
It is crucial to consult with a specialist who has experience in treating syringomyelia to discuss your symptoms and treatment options. You may want to prepare a list of your symptoms, their onset, and any previous treatments you have tried to facilitate a comprehensive evaluation.
In summary, Northern Taiwan has several reputable hospitals and specialists who can provide the necessary care for syringomyelia. It is advisable to seek a consultation with a neurologist or neurosurgeon at one of the mentioned hospitals to receive a tailored treatment plan that addresses your specific needs.
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