Neuropathic arthropathy of the shoulder secondary to operated syringomyelia: a case-based review

Koçyiğit, Burhan Fatih; Kızıldağ, Betül

doi:10.1007/s00296-022-05234-w

Cited by 4 publications

(4 citation statements)

References 73 publications

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“…A syrinx may decrease shoulder joint sensory innervation, leading to loss of somatic muscle reflexes that protect the joint from injury, resulting in recurrent subclinical trauma that causes inflammation and progressive shoulder joint destruction . A syrinx may also cause loss of autonomic vascular control, increasing blood flow to the joint, and activating osteoclasts, which results in accelerated bone resorption …”

Section: Discussionmentioning

confidence: 99%

“…Treatments for Charcot shoulder include nonsteroidal anti-inflammatory medications, joint aspiration if an effusion is present, patient education about avoidance of mechanical trauma, physical therapy, and rehabiliation . Shoulder surgery is not typically recommended, but may be considered for a subset of patients with Charcot shoulder who do not improve with nonoperative management …”

Section: Discussionmentioning

confidence: 99%

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Radiographic Absence of the Left Humeral Head

Roche

Sheehan

2023

JAMA

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Radiographic Absence of the Left Humeral Head

Roche

Sheehan

2023

JAMA

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“…It was first discovered and reported by French doctor Charcot [ 1 ]. It is a rare disease that can occur in shoulder, spine, hip, knee, ankle and other joints [ 2 , 3 ]. We have herein repored a case of charcot knee (CK) accompanied by tethered cord syndrome and lumbosacral fur sinus.…”

Section: Introductionmentioning

confidence: 99%

Charcot arthropathy of the knee accompanied by tethered cord syndrome and lumbosacral fur sinus

Hu,

Zhang,

2024

Heliyon

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“…Oto-neurologic symptoms include dysphagia caused by lower cranial nerve compression, reduced hearing, ear pressure, and oscillopsia. Cerebellar abnormalities include tremors, balance issues, and gait ataxia [5]. The condition can be managed through surgery followed by physiotherapy, even though the corrective surgery tries to restore CSF flow, numerous research studies have shown that there is a risk of severe and progressive neurological problems after the surgery where the physiotherapy aims to deal with a neurological problem.…”

Section: Introductionmentioning

confidence: 99%

The Originality of Neuro Rehabilitation Protocols in a Definitive Case of Syringomyelia Related to Chiari I Malformation

Tiwari,

Zade,

Samal

2023

Cureus

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Syringomyelia is a center-medullary syndrome characterized by the presence of fluid-filled spaces known as syrinx within the spinal canal. Arnold Chiari Malformation (CM-I), a rhombencephalon anomaly formerly identified as hindbrain hernia, is usually associated with it. This disorder causes the brain (cerebellum) to bulge through the opening in the skull known as the foramen magnum. Some asymptomatic patients may develop symptoms quickly if they jolt their heads and cough for a lengthy period of time. Syringomyelia can be caused by trauma, illness, inflammation, or previous surgery that affects the circulation of cerebral spinal fluid resulting in CSF flow obstruction. The discomfort is acute and progressive, radiating to the neck and shoulder, and is accompanied by sensory loss, motor atrophy, decreased hearing, oscillopsia, and cerebellar abnormalities. This case report is of a 39-year-old woman diagnosed with syringomyelia associated with Arnold Chiari malformation and showed similar symptoms managed by foramen decompression and tonsillar elevation surgery. It involves removing a small piece of bone from the skull and a small section of the 1st vertebra from the back of the neck and head. In this way, there is an increase in skull space. Decompression of the spinal canal increases the size of the subarachnoid cisterns and constricts the syrinx cavity. After surgery, physiotherapy was advised because all superficial sensations over C8 and T1 were diminished, the range of motion along with strength was reduced, doing daily activities was difficult, and quality of life was affected. So, by decreasing symptoms and improving the patient's quality of life, physiotherapy improved the patient's condition significantly in this case report. The rationale of this study is to show the importance of physiotherapy in recovering after a neurological condition followed by corrective neurosurgery.

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Neuropathic arthropathy of the shoulder secondary to operated syringomyelia: a case-based review

Cited by 4 publications

References 73 publications

Radiographic Absence of the Left Humeral Head

Radiographic Absence of the Left Humeral Head

Charcot arthropathy of the knee accompanied by tethered cord syndrome and lumbosacral fur sinus

The Originality of Neuro Rehabilitation Protocols in a Definitive Case of Syringomyelia Related to Chiari I Malformation

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