Management of Syringomyelia in Children

Initial Management at Presentation

  • Identify etiology: The management of syringomyelia is focused on identifying the associated condition that is the underlying cause of the syrinx (2-4, 9).
  • Treat underlying condition: The underlying condition is the usual focus of initial management of the syrinx (2-4, 9).
  • Asymptomatic patients managed expectantly: Asymptomatic patients with small syrinx cavities are best managed with watchful waiting and serial imaging.

Adjunctive Therapies

  • None

Follow-up

  • Continued follow-up recommended: Treatment failure for syrinxes can occur, and continued follow-up is recommended.
  • Imaging 3–6 months, then yearly: An MRI is obtained 3–6 months postoperatively to verify resolution, then yearly. If the syrinx is being managed conservatively, yearly scans are recommended.