Unmasking the Mystery of A Hidden Syrinx: Case Report of Progressive Paralysis in A 20-Year-Old Male with Intact Pain and Temperature Sensations | [Journal of Bahria University Medical and Dental College • 2023]

Author(s):

1. Muhammad Sohail Ajmal Ghoauri: Department of Neurology, Bahawal Victoria Hospital, Quaid-e-Azam Medical College, Pakistan

2. Nauman Ismat Butt: Department of Medicine, Azra Naheed Medical College, Superior University, Pakistan

3. Mutahra Khaliq: Department of Medicine, Bahawal Victoria Hospital, Quaid-e-Azam Medical College, Pakistan

4. Muhammad Bilal Rasheed: Department of Medicine, Azra Naheed Medical College, Superior University, Pakistan

5. Muhammad Umair Javed: Department of Medicine, Bahawal Victoria Hospital, Quaid-e-Azam Medical College, Pakistan

6. Dur-e-Sabeh: Department of Medicine, Bahawal Victoria Hospital, Quaid-e-Azam Medical College, Pakistan

Abstract:

Syringomyelia is a progressive neurological disorder in which a fluid-filled cyst known as syrinx forms within the spinal cord. The case of a 20-year of adult is presented with lower limb stiffness and difficulty in walking for last 3 years. For the last 1 year, he also developed stiffness of upper limbs. Upon examination, he had a spastic gait with no ataxia. There was muscle wasting of both upper and lower limbs, with fasciculation. Tone was increased with reduced power and hyperreflexia bilaterally in all four limbs with positive ankle clonus and upgoing plantars bilaterally. Sensory system, cerebellum and higher motor functions were intact. MRI scan revealed an abnormal intramedullary multifocal T2WI hyper intense signal in cervical and thoracic spinal cord consistent with syrinx and he was diagnosed with Syringomyelia. This case is an uncommon presentation of Syringomyelia presenting with predominantly upper motor neuron lesion without sensory involvement.

Page(s): 244-246

DOI: 10.51985/JBUMDC2023191

Published: Journal: Journal of Bahria University Medical and Dental College, Volume: 13, Issue: 3, Year: 2023

Keywords:

MRI scan , Syrinx in Spinal Cord , Syringomyelia

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