Neuropathic arthropathy caused by Arnold–Chiari malformation with syringomyelia

Yanık, Burcu; Tuncer, Safiye; Seçkin, B.

doi:10.1007/s00296-003-0389-x

Cited by 43 publications

(34 citation statements)

References 6 publications

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“…Moreover, the arthropathy frequently affects the weight-bearing joints of the body. [1,2,6,10,11] The pathogenesis of Charcot arthropathy has not been clearly definitely as of yet. Its most apparent characteristic is that there is no sensation of pain, but swelling and deformations have also been noted.…”

Section: Discussionmentioning

confidence: 99%

“…Secondary bacterial infections may also develop in the same areas, which can cause pathologies such as cellulitis, abscesses, and osteomyelitis. [1,2,6,11,12] The neurovascular theory is another theory, but it is not as popular. It states that sympathetic system regulation in the blood flow of the foot bones is impaired in connection with autonomic neuropathy.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] In tabes dorsalis, diabetes mellitus (DM), alcoholic neuropathy, leprosy, syphilis, myelomeningocele, syringomyelia, and intra-articular steroid injections are the other causes of Charcot arthropathy. [1,2,6,7] Our case is interesting because of the symptoms which occurred in the later period of the disease, the comorbidity of acral mutilations, the existence of Charcot arthropathy in the shoulder and elbow, and the association with sensory motor polyneuropathy. In addition, our patient was operated on as a result of the syringomyelia, and the pre-and postoperative neurological examinations and findings were evaluated.…”

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confidence: 99%

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A Pre- and Postoperative Evaluation of Multiple Joint Involvement as the Initial Finding of Cervical Syringomyelia and Neuropathic Arthropathy

Kısabay¹

2013

Turk J Rheumatol

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Siringomiyeli spinal kordun içerisinde longitudinal kistin oluştuğu, progresif dejeneratif bir hastalıktır. En sık omuz eklem tutulumu görülen bu hastalığın ilerleyen dönemlerinde nöropatik artropati gelişimi söz konusudur. Bu yazıda, siringomiyeli, ArnoldChiari Sendromu ve nöropatik artropati tanısı konulan 42 yaşında kadın bir olgu sunuldu. Hastanın ilk yakınmaları olarak sağ omuzda ve dirsekte ağrısız ödem, parmak uçlarında yara ve amputasyonlar vardı. Hasta siringomiyeli ameliyatı öncesi ve sonrası değerlendirildi. Yavaş ilerleyen spinal kord lezyonlarında ilk bulgu olarak nöropatik artropatinin çıkabileceği göz önünde bulundurulmalıdır.Anahtar sözcükler: Arnold-Chiari Sendromu; nöropatik artropati; siringomyeli.Syringomyelia is a progressive, degenerative disorder, in which a longitudinal cyst forms within the spinal cord. Neuropathic arthropathy can be seen in the late phases of the disease, with the most frequent involvement being in the shoulder. Herein, we present a 42-year-old female case who was diagnosed with syringomyelia as well as Arnold-Chiari Syndrome and neuropathic arthropathy. Her initial complaints were painless edema in the right shoulder and elbow, wounds on the tips of her fingers and amputations. She was evaluated both pre-and postoperative periods. It should be kept in mind that neuropathic arthropathy may develop as the initial symptom in spinal cord lesions which progress slowly.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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A Pre- and Postoperative Evaluation of Multiple Joint Involvement as the Initial Finding of Cervical Syringomyelia and Neuropathic Arthropathy

Kısabay¹

2013

Turk J Rheumatol

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“…6) A standard treatment for neuropathic arthropathy has consisted of conservative measures such as the use of non-weight bearing brace for the immobilization of joints. A study by Hatzis et al 7) have suggested that with regards to the treatment of neuropathic shoulder arthropathy maintaining shoulder joint function takes precedence over fixation through arthrodesis.…”

Section: Discussionmentioning

confidence: 99%

Neuropathic Arthropathy of the Shoulder Associated with Cervical Syringomyelia: A Case Report

Park¹,

Im²,

Moon³

et al. 2015

Clinics in Shoulder and Elbow

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Neuropathic shoulder arthropathy or Charcot's shoulder is an extremely rare disease, and sometimes it is associated with cervical syringomyelia. Clinical symptoms of the disease include edema of the shoulder and restriction in range of motion. Radiological diagnosis can be made through plain radiography through a characteristic, atrophic destruction of the joint. We experienced a Charcot's joint of the shoulder wherein destruction of the joint progressed extremely quickly and reviewed the literature concerning this condition. Correspondence to: Yongbeom Lee Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, 22 Gwanpyeong-ro 170beon-gil, Dongan-gu, Anyang 14068, Korea Tel: +82-31-380-3770, Fax: +82-31-380-4118, E-mail: drleeyb@naver.com Charcot's joint is an extremely uncommon disease, and it is infrequently associated with cervical syringomyelia. A quarter of patients with cervical syringomyelia have been shown to have concomitant neuropathic arthropathy, 5% to 6% of which occur in the shoulder.1) The number of reported cases of this disease is very few and those existing are cited in the international literature; the Korean literature has yet to report of a case. The clinical symptoms of the disease include restriction in shoulder range of motion (ROM) and cellulitis associated with hypoesthesia or with edema. The authors encountered a patient whose Charcot's joint of a shoulder and joint destruction proceeded at an extremely fast pace. We report this case along with a review of the literature concerning this disease. Case ReportA male patient aged 44 years had suffered from restriction in ROM and severe swelling a week previous to his admission to hospital. The patient has a history of a 4th thoracic vertebral fracture 20 years ago for which he received conservative management and a history of syringomyelia 11 years ago. For the treatment syringomyelia the patient had received, at a different hospital, surgical treatment. The postoperative hypoesthesia of the bilateral upper limbs and paralysis of the lower body he sustained permanently meant that the patient has had to live with the aid of a wheelchair.The patient had a medical history of a suspected cellulitis of the same shoulder 4 months previous to the current visit, for which the patient had been given oral antibiotics. The patient's symptoms improved with medication. Four months later, the patient complained of mild pain around the shoulders. With physical examination, we found that the right shoulder presented with severe swelling and focal flaring, causing us to suspect septic ar- , and an internal rotation to the 1st lumbar spine. The results of blood tests taken at the time of admission were higher than normal: a white blood cell count of 9,100 cells/cm 2 , an erythrocyte sedimentation rate of 67 mm/h, and a C-reactive protein level of 20.2 mg/d. In addition, the plain radiography of the right shoulder showed osteopenia of the humeral head, destructive changes of the glenohumeral joint, and intra-and extra-articular detachmen...

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“…1 Charcot arthropathy is characterized by destruction of the related joint in patients with neurosensory loss.…”

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confidence: 99%

Teaching Neuro Images : The Charcot shoulder

et al. 2017

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A 39-year-old man presented with 1-year history of shoulder pain, swelling, and limitation of movement. There was a 20-year history of left shoulder and arm numbness. Examination showed decreased vibratory sensitivity on left shoulder, glenohumeral instability, and dislocation. Radiography showed humeral head destruction (figure 1); a spine MRI showed tonsillar herniation and cervical syringomyelia (figure 2). Arthropathy related to syringomyelia was diagnosed.Chiari type 1 malformation may be associated to syringomyelia, and may cause sensory loss.

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Neuropathic arthropathy caused by Arnold–Chiari malformation with syringomyelia

Cited by 43 publications

References 6 publications

A Pre- and Postoperative Evaluation of Multiple Joint Involvement as the Initial Finding of Cervical Syringomyelia and Neuropathic Arthropathy

A Pre- and Postoperative Evaluation of Multiple Joint Involvement as the Initial Finding of Cervical Syringomyelia and Neuropathic Arthropathy

Neuropathic Arthropathy of the Shoulder Associated with Cervical Syringomyelia: A Case Report

Teaching Neuro Images : The Charcot shoulder

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