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Teaching NeuroImages: Neuropathic elbow arthropathy due to syringomyelia.

Correspondence & reprint requests to Dr. Nair: .
Neurology (Impact Factor: 8.3). 09/2012; 79(12):e102. DOI: 10.1212/WNL.0b013e31826aad39
Source: PubMed

ABSTRACT A 45-year-old woman presented with 3 months of left elbow swelling and minimal pain (figure, A). She did not remember any upper extremity injury. On exami-nation, she had arthritis of left elbow, wasting of small muscles of the hand, depressed biceps and supinator jerks, and decreased pain and temperature sensation over C5 to T1 dermatomes bilaterally. Tests for syphi-lis, diabetes mellitus, and leprosy were negative. Left el-bow X-ray revealed joint destruction, disorganization, sclerosis, and debris formation (figure, B), Cervical spine MRI revealed syringomyelia from C2 to T3 vertebra level (figure, C and D). She was diagnosed with neuropathic left elbow arthropathy due to syringomyelia. 1,2

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Jun 2, 2014