My doctor has recommended a surgical procedure different from the pial synangiosis to treat the condition. Does it matter which procedure is used?
A detailed answer to this question is beyond the scope of this question and answer format, because there are many different surgical procedures, with varying technical considerations and implications in various patient groups. No one surgical technique is the right answer for every patient with the syndrome, and the patient needs to review the surgical recommendation with the involved surgeon, determine his or her rationale for the recommendation, and inquire about the surgeon’s results and experience with the technique recommended. Written February 15, 1999 Previous On-Line Lectures Letter from John Shillito, M.D. Potential Cost of Non-Invasive Telemetric Monitoring in Patients with Shunted Hydrocephalus, by David Frim, M.D., Ph.D. Neurosurgical Treatment of Spasticity, by Joseph R. Madsen, M.D. Tethered Cord Syndrome: Questions and Answers, by Joseph R. Madsen, M.D.
