A pre- and postoperative evaluation of multiple joint involvement as the initial finding of cervical syringomyelia and neuropathic arthropathy; [Servikal siringomiyelin ve nöropatik artropatinin ilk bulgusu olarak ortaya çi{dotless}kan çoklu eklem tutulumunun ameliyat öncesi ve sonrasi{dotless} deǧerlendirilmesi]
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Date
2013
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Abstract
Syringomyelia is a progressive, degenerative disorder, in which a longitudinal cyst forms within the spinal cord. Neuropathic arthropathy can be seen in the late phases of the disease, with the most frequent involvement being in the shoulder. Herein, we present a 42-year-old female case who was diagnosed with syringomyelia as well as Arnold-Chiari Syndrome and neuropathic arthropathy. Her initial complaints were painless edema in the right shoulder and elbow, wounds on the tips of her fingers and amputations. She was evaluated both pre- and postoperative periods. It should be kept in mind that neuropathic arthropathy may develop as the initial symptom in spinal cord lesions which progress slowly. ©2013 Turkish League Against Rheumatism. All rights reserved.
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antiinflammatory agent , C reactive protein , iron , adult , arm swelling , arm weakness , Arnold Chiari malformation , article , bone radiography , case report , computer assisted tomography , crackle , decompressive craniectomy , disease association , Doppler echography , erythema , erythrocyte sedimentation rate , female , hematocrit , human , laboratory test , leukocyte , nerve fiber degeneration , neurologic examination , neuropathic joint disease , nuclear magnetic resonance imaging , nystagmus , pain , paresthesia , polyneuropathy , postoperative period , preoperative evaluation , range of motion , sensory dysfunction , sensory motor polyneuropathy , sensory system electrophysiology , shoulder pain , soft tissue calcification , syringomyelia , tonsillectomy , treatment response