Abstract
Syringomyelia, characterized by cystic cavitation in the spinal cord, can be primary or secondary to various conditions.[1] This article focuses on syringomyelia resulting from subarachnoid haemorrhage (SAH). A case study of a 45-year-old female with SAH is presented. Despite successful aneurysm clipping, the patient developed post-SAH syringomyelia, a rare complication occurring in less than 1% of SAH cases. [2] The pathophysiology involves arachnoiditis disrupting cerebrospinal fluid dynamics, leading to spinal cord tethering. Multiple hypotheses, including inflammatory responses and disruptions in glymphatic flow, contribute to syrinx formation.[4] Surgical options, from arachnoid lysis to various shunting procedures, aim to address progressive symptoms. The choice remains case-specific, with debates on long-term shunt efficacy. Overall, syringomyelia post-SAH poses diagnostic and therapeutic challenges, emphasizing the need for further research in understanding and managing this rare complication.
