Cervical syringomyelia at the C7-C8 level presenting with bilateral scapular winging

Niedermaier, Nikolaj

doi:10.1136/jnnp.68.3.394

Cited by 6 publications

(2 citation statements)

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“…In trapezius weakness, the scapula is rotated such that the superior angle is laterally displaced, whereas in rhomboid weakness, the inferior angle is laterally displaced 1. In our patient, ACM type 1 with syringomyelia led to trapezius weakness and lateral WOS, an association that has been infrequently reported 2 3. He underwent posterior fossa decompression with duroplasty, and on follow up 6 months later, his neurological examination remained unchanged.…”

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confidence: 56%

Scapular winging in a patient with Arnold–Chiari malformation type 1 and syringomyelia

2014

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DESCRIPTIONA 30-year-old male presented with a 15-year history of proximal weakness and decreased temperature sensation in both upper limbs. There was no history to suggest a hereditary connective tissue disorder, and no prior trauma. On examination, he had lateral winging of the scapula (WOS) with the superior angle displaced laterally (figure 1), mild weakness of bilateral upper extremities, reduced pain and temperature sensation in dermatomes C2 to T3, and normal proprioception, while tendon reflexes were absent in the upper limbs and brisk in the lower limbs, and plantars were extensor. MRI of the spine revealed a large syrinx with an Arnold-Chiari malformation (ACM) type 1 (figure 2). X-rays of the craniovertebral junction did not reveal occipitoatlantoaxial hypermobility.WOS is a condition where the medial border of the scapula is prominent due to weakness of the serratus anterior, trapezius or rhomboid muscles.

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Section: Descriptionmentioning

confidence: 56%

Scapular winging in a patient with Arnold–Chiari malformation type 1 and syringomyelia

2014

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“…8 Other possible symptoms include: singultus (hiccups), nystagmus, oscillopsia, Horner's syndrome or dyshidrosis, hearing loss, scapular winging, and facial myokymia. 4,[8][9][10][11][12][13][14] In the case of PTS, the clinical feature with the highest frequency of appearance in the literature is pain, which can possibly be triggered by straining, coughing, sneezing or other mechanical influences. The second commonest symptoms include sensory deficits, especially dissociation between pain and proprioception or concerning vibration and touch sensation.…”

Section: Discussionmentioning

confidence: 99%