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===Acquired=== The second major form of syringomyelia occurs as a complication of [[Physical trauma|trauma]], [[meningitis]], [[hemorrhage]], a [[tumor]], or [[arachnoiditis]]. Here, the syrinx or cyst develops in a segment of the spinal cord damaged by one of these conditions. The syrinx then starts to expand. This is sometimes referred to as noncommunicating syringomyelia. Symptoms may appear months or even years after the initial injury, starting with pain, weakness, and sensory impairment originating at the site of trauma.<ref>{{cite book |last1=Shenoy |first1=Varadaraya Satyanarayan |last2=Munakomi |first2=Sunil |last3=Sampath |first3=Raghuram |title=StatPearls |date=2024 |publisher=StatPearls Publishing |chapter-url=https://www.ncbi.nlm.nih.gov/books/NBK537110/ |chapter=Syringomyelia |pmid=30725795 }}</ref> The primary symptom of post-traumatic syringomyelia (often referred to using the abbreviation of PTS)<ref name="pmid8558154">{{cite journal |vauthors=Schurch B, Wichmann W, Rossier AB |title=Post-traumatic syringomyelia (cystic myelopathy): a prospective study of 449 patients with spinal cord injury |journal=J. Neurol. Neurosurg. Psychiatry |volume=60 |issue=1 |pages=61β7 |date=January 1996 |pmid=8558154 |pmc=486191 |doi= 10.1136/jnnp.60.1.61}}</ref> is pain, which may spread upward from the site of injury. Symptoms, such as pain, numbness, weakness, and disruption in temperature sensation, may be limited to one side of the body. Syringomyelia can also adversely affect sweating, sexual function, and, later, bladder and bowel control. A typical cause of PTS would be a car accident or similar trauma involving a whiplash injury.{{fact|date=December 2024}} What can make PTS difficult to diagnose is the fact that symptoms can often first appear long after the actual cause of the syrinx occurred (e.g., a car accident occurring and then the patient first experiencing PTS symptoms such as pain, loss of sensation, and reduced ability on the skin to feel varying degrees of hot and cold a number of months after the car accident).<ref name="NINDS Syringomyelia"/>
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