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Spontaneous Improvement of Syringomyelia With Deterioration of a Chiari Type I Malformation and New Symptoms
Arch Neurol. 2006;63:1328.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 49-year-old woman first developed symptoms in 1993 when, following a bout of coughing, she developed burning right-sided chest pain radiating to the right arm and worsening with straining. When examined in 2001, she was numb in the right flank to pinprick with allodynia to cold, and the biceps jerks were reduced bilaterally. Lower limb reflexes were brisk with flexor plantar responses, and no weakness was detected. Magnetic resonance imaging at this time (Figure, A) revealed an extensive syrinx from C2 to L1 and a Chiari type I malformation. She declined surgical intervention.
Figure appears in full text version.
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Figure. Midsagittal magnetic resonance image (fast spin-echo; repetition time, 3000 milliseconds; effective echo time, 100 milliseconds) of the cervical spine showing syringomyelia and an associated Chiari type I deformity of the hindbrain. A, The syrinx (arrow) is distended, the cerebellar tonsils lie above C1, and the medulla oblongata is elongated but not kinked. Dotted line . . . [Full Text of this Article]
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AUTHOR INFORMATION
Sean O’Riordan, MB BCh BAO, MRCPI;
John Stevens, FRCR, FRACR;
Jeremy Chataway, MD, PhD
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