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    Acute and atypical presentations of syringomyelia

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    Authors
    Anwer, Ursula E.
    Fisher, Marc
    UMass Chan Affiliations
    Department of Neurology
    Document Type
    Journal Article
    Publication Date
    1996-01-01
    Keywords
    Adult
    Arnold-Chiari Malformation
    Brain
    Diagnosis, Differential
    Female
    Humans
    Magnetic Resonance Imaging
    Male
    Middle Aged
    Spinal Cord
    Syringomyelia
    Nervous System Diseases
    Neurology
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    Link to Full Text
    http://www.karger.com/Article/Pdf/117251
    Abstract
    Syringomyelia is characterized by a longitudinal cavity or several cavities in the spinal cord, and syringobulbia demonstrates similar pathology in the brainstem. Both conditions typically present with slowly progressing dissociative sensory deficits as well as upper and lower motor neuron deficits. We recently encountered 3 patients who presented with the rapid onset of such signs and symptoms and had cervical syringes. All 3 patients would have been diagnostic dilemmas had it not been for MRI, which identified a syrinx in each patient, as well as an Arnold-Chiari malformation in 2 of the 3. Syringomyelia and syringobulbia should be considered in the differential diagnosis of patients who have acutely evolving brainstem or cervical spinal cord deficits. MRI is the imaging modality of choice for detecting syringomyelia or syringobulbia presenting atypically.
    Source
    Eur Neurol. 1996;36(4):215-8.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/37815
    PubMed ID
    8814424
    Related Resources
    Link to article in PubMed
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    UMass Chan Faculty and Researcher Publications

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