Syringomyelic syndrome: clinical features in 31 cases confirmed by CT myelography or magnetic resonance imaging
✍ Scribed by K. Tashiro; T. Fukazawa; F. Moriwaka; T. Hamada; T. Isu; Y. Iwasaki; H. Abe
- Publisher
- Springer
- Year
- 1987
- Tongue
- English
- Weight
- 1021 KB
- Volume
- 235
- Category
- Article
- ISSN
- 0340-5354
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✦ Synopsis
The clinical features of 31 cases of syringomyelic syndrome, confirmed by metrizamide CT myelography (CTM) or magnetic resonance imaging (MRI), were analysed. Bilateral suspended sensory disturbance, previously regarded as a characteristic feature, was encountered in only 2 cases (6.5%). Thirteen patients (41.9%) showed no motor deficits of the upper limbs and 7 patients (22.6%) did not have weakness or atrophy in any of the four extremities. Cervical segmental signs were absent in 7 cases (22.6%) and in 2 (6.5%) signs were only present in the lower limbs. Scoliosis and foot deformity, such as pes cavus or equinovarus, were seen in 17 (54.8%) and 5 cases (16.1%) respectively. These skeletal abnormalities were initial symptoms in some childhood cases. In syringomyelic syndrome, clinical features are variable with many atypical clinical manifestations, apart from the previously recognized characteristic clinical features.