A case of Arnold–Chiari syndrome with flaccid paralysis and huge syringomyelia View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2004-09

AUTHORS

T Mimura, S Asajima, Y Saruhashi, Y Matsusue

ABSTRACT

STUDY DESIGN: A case report. SETTING: Department of Orthopaedic Surgery, Shiga University of Medical Science, Japan. PATIENT: A 13-year-old woman presented progressive weakness in the lower extremities, with predominance on the right. Magnetic resonance (MR) imaging revealed a huge syrinx. The patient also showed scoliosis, cleft palate, hearing impairment, excessive sweating, hairiness, dural ectasia, and malformation of the skull. METHOD AND OBJECTIVES: We treated a very rare case of Arnold-Chiari syndrome, which presented with flaccid paralysis. Methods of differential diagnosis and suitable treatment are discussed. RESULTS AND CONCLUSION: Both the syrinx and muscle strength were quickly improved following placement of a syringo-peritoneal (S-P) shunt, after which the patient recovered the ability to walk. However, transient hypesthesia in the right hand occurred after the operation. The syrinx around the conus was thought to play a crucial role in the etiology of the patient case, which showed unique symptoms. More... »

PAGES

3101607

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/sj.sc.3101607

DOI

http://dx.doi.org/10.1038/sj.sc.3101607

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1016184605

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15111990


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