Syringomyelia and syringobulbia
ICD-10 G95.0 is a billable code used to indicate a diagnosis of syringomyelia and syringobulbia.
Syringomyelia is a disorder characterized by the formation of a fluid-filled cyst, or syrinx, within the spinal cord, which can lead to a variety of neurological symptoms. Syringobulbia refers to the presence of a syrinx in the brainstem. Both conditions can result from congenital malformations, trauma, or conditions such as Chiari malformation. Patients may experience pain syndromes, including neuropathic pain, due to damage to the spinal cord and surrounding nerves. Autonomic dysfunction is also common, leading to symptoms such as temperature dysregulation, sweating abnormalities, and bladder dysfunction. Hydrocephalus may occur as a secondary complication due to obstruction of cerebrospinal fluid (CSF) flow. Other nervous system disorders may manifest, including muscle weakness, atrophy, and sensory disturbances. Diagnosis typically involves MRI imaging to visualize the syrinx and assess its size and impact on surrounding structures. Treatment may include surgical intervention to decompress the syrinx or manage symptoms, but outcomes can vary significantly among patients.
Detailed neurological examination findings, imaging reports, and treatment plans.
Patients presenting with chronic pain, weakness, or sensory loss.
Ensure clear documentation of neurological deficits and their progression.
Surgical notes, pre-operative assessments, and post-operative follow-ups.
Patients undergoing decompression surgery for syringomyelia.
Document the surgical approach and any complications encountered.
Used when a patient with syringomyelia undergoes surgery to relieve pressure on the spinal cord.
Surgical notes detailing the procedure and indications.
Neurosurgeons should document the rationale for surgical intervention.
Common symptoms include chronic pain, weakness in the arms or legs, sensory disturbances, and autonomic dysfunction such as temperature regulation issues.
Diagnosis is primarily through MRI imaging, which can visualize the syrinx and assess its size and impact on surrounding structures.
Treatment may include surgical decompression to relieve pressure on the spinal cord or management of symptoms through medication and physical therapy.