Abstract：
STUDY DESIGN:A case report. SETTING:Department of Orthopaedic Surgery, Shiga University of Medical Science, Japan. PATIENT:A 13-year-old woman presented progressive weakness in the lower extremities, with predominance on the right. Magnetic resonance (MR) imaging revealed a huge syrinx. The patient also showed scoliosis, cleft palate, hearing impairment, excessive sweating, hairiness, dural ectasia, and malformation of the skull. METHOD AND OBJECTIVES: We treated a very rare case of Arnold-Chiari syndrome, which presented with flaccid paralysis. Methods of differential diagnosis and suitable treatment are discussed. RESULTS AND CONCLUSION:Both the syrinx and muscle strength were quickly improved following placement of a syringo-peritoneal (S-P) shunt, after which the patient recovered the ability to walk. However, transient hypesthesia in the right hand occurred after the operation. The syrinx around the conus was thought to play a crucial role in the etiology of the patient case, which showed unique symptoms.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Mimura T,Asajima S,Saruhashi Y,Matsusue Ydoi
10.1038/sj.sc.3101607subject
Has Abstractpub_date
2004-09-01 00:00:00pages
541-4issue
9eissn
1362-4393issn
1476-5624pii
3101607journal_volume
42pub_type
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