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Eur Neurol 1996;36:215–218

Acute and Atypical Presentations of Syringomyelia

Anwer U.E. · Fisher M.

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The Medical Center of Central Massachusetts, University of Massachusetts Medical School, Worcester, Mass., USA

Corresponding Author

Ursula E. Anwer, MD, Department of Neurology, The Medical Center of Central Massachusetts, 119 Belmont Street, Worcester, MA 01605 (USA)

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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.

© 1996 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 30, 1995
Accepted: December 27, 1995
Published online: February 13, 2008

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 0014-3022 (Print)
eISSN: 1421-9913 (Online)

For additional information: http://www.karger.com/ENE

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