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Case report
peer-reviewed

An Atypical Clinical Presentation of Post-traumatic Syringomyelia: A Case Report and Brief Review of the Literature



Abstract

Syringomyelia classically presents as a bilateral sensory loss of the dissociated type which includes the loss of pain and temperature with the preservation of fine touch, vibratory sensation, and proprioception in the shoulder, arm, and hand. Eventually, weakness of the legs, muscle wasting, and ataxia can also be seen due to the involvement of the corticospinal tracts and the posterior columns of the spinal cord. We present the case of a 64-year-old patient with an atypical presentation of post-traumatic syringomyelia. This atypical presentation included a unilateral sensory loss of fine touch, pain, and temperature in the shoulder, arm, and hand which was of the non-dissociated type with no weakness, muscular atrophy, loss of vibratory sensation, or proprioception.



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Case report
peer-reviewed

An Atypical Clinical Presentation of Post-traumatic Syringomyelia: A Case Report and Brief Review of the Literature


Author Information

Muhammad Uzair Lodhi

Medical Student, Department of Medicine, Raleigh General Hospital, Beckley, Wv

Aaron R. Kuzel

Department of Emergency Medicine, Lincoln Memorial University-Debusk College of Osteopathic Medicine

Intekhab Askari Syed Corresponding Author

Internal Medicine, Beckley Appalachian Regional Healthcare

Internal Medicine, Raleigh General Hospital, Beckley, Wv

Mustafa Rahim

Assistant Clinical Professor of Internal Medicine, West Virginia University School of Medicine

Adjunct Faculty, Lincoln Memorial University, School of Medicine


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Acknowledgements

Special thanks to Dr. Bharat G. Patel MD, Radiologist, for his comments on the initial manuscript.


Case report
peer-reviewed

An Atypical Clinical Presentation of Post-traumatic Syringomyelia: A Case Report and Brief Review of the Literature


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Case report
peer-reviewed

An Atypical Clinical Presentation of Post-traumatic Syringomyelia: A Case Report and Brief Review of the Literature

Muhammad Uzair Lodhi ">Muhammad Uzair Lodhi , Aaron R. Kuzel">Aaron R. Kuzel, Intekhab Askari Syed">Intekhab Askari Syed , Mustafa Rahim ">Mustafa Rahim

  • Author Information
    Muhammad Uzair Lodhi

    Medical Student, Department of Medicine, Raleigh General Hospital, Beckley, Wv

    Aaron R. Kuzel

    Department of Emergency Medicine, Lincoln Memorial University-Debusk College of Osteopathic Medicine

    Intekhab Askari Syed Corresponding Author

    Internal Medicine, Beckley Appalachian Regional Healthcare

    Internal Medicine, Raleigh General Hospital, Beckley, Wv

    Mustafa Rahim

    Assistant Clinical Professor of Internal Medicine, West Virginia University School of Medicine

    Adjunct Faculty, Lincoln Memorial University, School of Medicine


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements

    Special thanks to Dr. Bharat G. Patel MD, Radiologist, for his comments on the initial manuscript.


    Article Information

    Published: November 16, 2017

    DOI

    10.7759/cureus.1852

    Cite this article as:

    Lodhi M, Kuzel A R, Syed I, et al. (November 16, 2017) An Atypical Clinical Presentation of Post-traumatic Syringomyelia: A Case Report and Brief Review of the Literature. Cureus 9(11): e1852. doi:10.7759/cureus.1852

    Publication history

    Received by Cureus: November 08, 2017
    Peer review began: November 10, 2017
    Peer review concluded: November 11, 2017
    Published: November 16, 2017

    Copyright

    © Copyright 2017
    Lodhi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Syringomyelia classically presents as a bilateral sensory loss of the dissociated type which includes the loss of pain and temperature with the preservation of fine touch, vibratory sensation, and proprioception in the shoulder, arm, and hand. Eventually, weakness of the legs, muscle wasting, and ataxia can also be seen due to the involvement of the corticospinal tracts and the posterior columns of the spinal cord. We present the case of a 64-year-old patient with an atypical presentation of post-traumatic syringomyelia. This atypical presentation included a unilateral sensory loss of fine touch, pain, and temperature in the shoulder, arm, and hand which was of the non-dissociated type with no weakness, muscular atrophy, loss of vibratory sensation, or proprioception.



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Muhammad Uzair Lodhi , Medical Student

Medical Student, Department of Medicine, Raleigh General Hospital, Beckley, Wv

Aaron R. Kuzel, Medical Student

Department of Emergency Medicine, Lincoln Memorial University-Debusk College of Osteopathic Medicine

Intekhab Askari Syed, Medical Student

Internal Medicine, Beckley Appalachian Regional Healthcare

For correspondence:
intekhab1472@gmail.com

Mustafa Rahim , M.D.

Assistant Clinical Professor of Internal Medicine, West Virginia University School of Medicine

Muhammad Uzair Lodhi , Medical Student

Medical Student, Department of Medicine, Raleigh General Hospital, Beckley, Wv

Aaron R. Kuzel, Medical Student

Department of Emergency Medicine, Lincoln Memorial University-Debusk College of Osteopathic Medicine

Intekhab Askari Syed, Medical Student

Internal Medicine, Beckley Appalachian Regional Healthcare

For correspondence:
intekhab1472@gmail.com

Mustafa Rahim , M.D.

Assistant Clinical Professor of Internal Medicine, West Virginia University School of Medicine