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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
SYRINX IN AN OLD CASE OF POTT’S PARAPARESIS: A CASE REPORT
Author
Agarwal A K, Mourya Amit, Shukla Sourav, Bajpai Jeetendra* , Goel Mohit
Email
dr.jbajpaii@gmail.com
keyword
Syrinx, Pott’s Paraparesis.
Abstract
The development of syrinx may be due to developmental anomally in spinal cord. It may also occur due to trauma, ischemia and intramedullary tumour. A young 23 year old female came to opd with chief problem of loss of sensation (pain, temperature) in right upper half of body, which include right upper half of chest, right shoulder and upper arm. She was treated adequately for Pott’s spine at the level of D4/D5 with mild paraparesis, without neurogenic bladder and bowel in 2009. Now since last six month she is much worried due to dissociated sensory loss of pain, temperature in her right upper half of body without appreciable fresh motor weakness in any of her limb. She is normotensive, nondiabetic with no history of addiction or drug abuse. Bony ankylosis of D4 and D5 vertebral bodies is seen on MRI dorso lumbar spine. An irregular syrinx is seen extending from C7 to D10. A small cystic area seen within the syrinx at D7 level. Any dissociated sensory loss of pain and temperature in upper half of the body including upper arm should make high degree of suspicion for syrinx in cervico-dorsal region of spine especially in case of tubercular pathology.
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