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[Syringomyelic arthropathy].
J J Ruiz Ezquerro1, J L Pérez Arellano, J T López Alburquerque
1S. de Neurología, Hospital Virgen de la Concha, Zamora.
Anales De Medicina Interna (Madrid, Spain : 1984)
|July 1, 1990
Summary
Syringomyelic arthropathy, a complication of syringomyelia, occurred in 6 of 13 patients. This study suggests a combined neurotrophic, neurotraumatic, and neurovascular mechanism is responsible for this condition.
Area of Science:
- Neurology
- Rheumatology
- Pathology
Background:
- Syringomyelia is a neurological disorder characterized by cyst formation within the spinal cord.
- Syringomyelic arthropathy is a less common but significant complication affecting joints.
Purpose of the Study:
- To present cases of syringomyelic arthropathy.
- To analyze the etiopathogenesis, clinical, radiological, and pathological features.
- To propose a unifying pathogenetic mechanism.
Main Methods:
- Case series presentation.
- Review of clinical, radiological, and pathological data.
- Literature review for comparative analysis.
Main Results:
- Eight cases of syringomyelic arthropathy were identified in 6 patients with syringomyelia.
- The observed incidence of arthropathy was higher than previously reported.
- An eclectic pathogenetic model integrating neurotrophic, neurotraumatic, and neurovascular factors was proposed.
Conclusions:
- Syringomyelic arthropathy is a notable complication of syringomyelia with a potentially higher incidence than previously documented.
- A multifactorial etiopathogenesis involving neurotrophic, neurotraumatic, and neurovascular mechanisms is suggested.
- Early diagnosis and appropriate management are crucial for patients with syringomyelia and associated arthropathy.