I am planning to marry a man who has a medical condition called syringomyelia. Is this something that will get worse over time? What should I expect to happen?

Syringomyelia is a general term used to describe a cyst or tube-shaped cavity that forms within the spinal cord. The cyst expands and gets longer filling with cerebrospinal fluid. Sometimes it extends over several spinal levels. Over time, this syringomyelia can destroy the center of the spinal cord.

Your fiancé may or may not have any symptoms now, but studies show that the condition can get worse over time. As the syrinx stretches and fills with fluid, it can put pressure on the spinal cord. Neurologic symptoms can develop. These may include headaches and neck and upper back pain and stiffness.

Over time, the condition may progress and other symptoms can occur. Muscle weakness of the arms and legs have been reported by some patients. Weakness of the trunk muscles can result in scoliosis or curvature of the spine.

There is treatment available for this problem. If your fiancé has not been evaluated by a medical doctor, this may be a good time to suggest a baseline exam. Follow-up on a regular basis to identify any worsening of the condition and appropriate treatment can prevent many problems.