[Two patients with syringomyelia and Charcot's arthropathy]

Area of Science:

• Neurology
• Orthopedics
• Radiology

Background:

• Syringomyelia is a rare neurological disorder characterized by a fluid-filled cyst (syrinx) within the spinal cord.
• It often co-occurs with conditions like Chiari malformation type I or spinal tumors.
• Early diagnosis is crucial for effective management.

Observation:

• Two patients with syringomyelia developed Charcot's arthropathy in their elbows and shoulders.
• One patient was initially misdiagnosed with multiple sclerosis before MRI availability.
• Diagnostic imaging of the entire spinal column and foramen magnum is essential.

Findings:

• Syringomyelia presents with sensory deficits, muscle weakness, atrophy, and areflexia in the arms.
• Charcot's arthropathy, a degenerative joint disease, can be a complication of syringomyelia.
• Treatment approaches vary, including conservative management, watchful waiting, or surgical interventions.

Implications:

• This case highlights the importance of considering syringomyelia in patients with unexplained neurological symptoms and joint degeneration.
• Accurate and timely diagnosis through comprehensive spinal imaging can prevent misdiagnosis and guide appropriate treatment.
• Understanding the association between syringomyelia and Charcot's arthropathy can improve patient outcomes and management strategies.