Hydromyelia

Hydromyelia is a neurological condition characterized by the abnormal dilation of the central canal of the spinal cord, leading to the accumulation of cerebrospinal fluid (CSF) within the spinal cord itself. This expansion can disrupt normal spinal cord function, causing symptoms such as pain, weakness, sensory disturbances, and motor dysfunction. Often confused or overlapping with syringomyelia, hydromyelia requires accurate diagnosis and timely intervention to prevent permanent neurological damage. In Bangladesh, where access to advanced neuroimaging and pediatric neurosurgical expertise has historically been limited, many cases of hydromyelia have gone undiagnosed or mismanaged. Thanks to the efforts of specialists like Dr. Md. Nafaur Rahman, Assistant Professor of Pediatric Neurosurgery at the National Institute of Neurosciences & Hospital (NINS&H) and Chief Consultant at Bangladesh Paediatric Neurocare Centre, children and adults with hydromyelia now have access to world-class care. 🧠 What is Hydromyelia? Hydromyelia involves the abnormal enlargement of the central canal of the spinal cord. The central canal is a tiny channel running longitudinally through the spinal cord that contains cerebrospinal fluid. When this canal dilates excessively, it can compress surrounding nerve tissues, leading to neurological symptoms. Hydromyelia may be: Congenital (present at birth), often associated with other spinal anomalies like spina bifida, Chiari malformation, or tethered cord syndrome Acquired due to trauma, infection, tumors, or obstruction of normal CSF flow 🚸 Symptoms of Hydromyelia in Bangladeshi Patients The presentation of hydromyelia varies depending on the size and location of the canal dilation and the degree of spinal cord involvement. Common symptoms include: Chronic neck, back, or limb pain Weakness or wasting of muscles, especially in the hands or legs Sensory disturbances such as numbness, tingling, or loss of pain and temperature sensation Spasticity or stiffness of limbs Difficulty with balance and coordination Bladder and bowel dysfunction in advanced cases Progressive scoliosis or spinal deformity in children 🏥 Diagnosis of Hydromyelia in Bangladesh Accurate diagnosis relies on advanced imaging and clinical evaluation. At centers like NINS&H and Bangladesh Paediatric Neurocare Centre, comprehensive diagnostic protocols include: MRI of the entire spinal cord, which is the gold standard for visualizing central canal dilation and associated abnormalities Neurological examinations assessing motor strength, sensation, reflexes, and gait Additional imaging such as CT myelography or spinal ultrasound when indicated Screening for related conditions like Chiari malformation or tethered cord ⚕️ Treatment Options for Hydromyelia Treatment depends on the severity of symptoms, the extent of canal dilation, and the presence of associated conditions. ✅ Conservative Management: Regular monitoring with neurological exams and serial MRI scans for stable, asymptomatic cases Physical therapy to maintain muscle strength and flexibility Pain management and lifestyle modifications 🚨 Surgical Intervention: Surgery is recommended for patients with progressive neurological deficits or spinal cord compression and may include: Decompression surgery to relieve pressure on the spinal cord Correction of underlying causes such as Chiari malformation (posterior fossa decompression) or tethered cord release Shunting procedures to drain excess fluid and reduce central canal dilation Microsurgical techniques to restore normal CSF flow dynamics Dr. Md. Nafaur Rahman specializes in minimally invasive pediatric neurosurgical techniques that optimize outcomes while minimizing risks. ✅ Postoperative Care and Follow-Up Post-surgical care involves: Neurological monitoring to assess symptom improvement Physical and occupational therapy for functional recovery Serial MRI scans to ensure syrinx resolution and spinal cord health Guidance on activity and lifestyle to prevent recurrence Timely intervention often results in significant improvement in neurological function and quality of life. 👨‍⚕️ Why Choose Dr. Md. Nafaur Rahman for Hydromyelia Treatment in Bangladesh? 🎓 Assistant Professor, Pediatric Neurosurgery, NINS&H 🏥 Chief Consultant, Bangladesh Paediatric Neurocare Centre 🧠 Extensive experience managing complex spinal cord disorders in children and adults 🛠️ Utilizes advanced neuroimaging, neuro-navigation, and microsurgical technologies 🇧🇩 Trusted nationwide for compassionate, expert pediatric neurosurgical care 🌍 Serving Patients Across Bangladesh Patients from Dhaka, Chattogram, Rajshahi, Sylhet, Khulna, Barisal, Mymensingh, and remote areas receive expert consultation and treatment. Teleconsultations and digital image reviews are available for those in distant locations. 📞 Contact for Appointment and Consultation 📱 Serial Booking Numbers: 📞 +8801912988182 📞 +8801607033535 🌐 Website: www.neurosurgeonnafaur.com Clinic Locations: National Institute of Neurosciences & Hospital, Dhaka Bangladesh Paediatric Neurocare Centre, Dhaka