Although cavitary lesions of the spinal cord have been recognized for
centuries, only recently have effective, noninvasive imaging technique
s allowed antemortem diagnosis of this clinical syndrome. Methods of t
reatment have not been consistently successful in alleviating or rever
sing the clinical symptoms caused by these cystic lesions. Incomplete
understanding of the underlying pathologic basis for the syringes has
impeded the development of effective methods of treatment. This review
documents historical considerations regarding clinical observations a
nd experimental studies of this entity and the animal models that have
been reported for each of the major types of syringomyelia. Recent st
udies have suggested that development of a relevant animal model of po
sttraumatic syringomyelia is imminent. Successful development of an ex
perimental model will not only permit definition of the pathogenesis o
f cyst formation but also provide methods for testing of therapeutic i
nterventions.