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Novelty in Impact of Neurorehabilitation in a Classic Case of Syringomyelia

A fluid-filled hole inside the parenchyma or central canal of the spinal cord causes syringomyelia, a neurological condition. It is most frequently linked to type 1 Chiari malformations. Syringomyelia can be caused by tumors in the spinal cord, trauma, and post-traumatic or infectious adhesive arach...

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Autores principales: Gade, Sanika P, Harjpal, Pallavi, Kovela, Rakesh K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9559928/
https://www.ncbi.nlm.nih.gov/pubmed/36258946
http://dx.doi.org/10.7759/cureus.29126
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author Gade, Sanika P
Harjpal, Pallavi
Kovela, Rakesh K
author_facet Gade, Sanika P
Harjpal, Pallavi
Kovela, Rakesh K
author_sort Gade, Sanika P
collection PubMed
description A fluid-filled hole inside the parenchyma or central canal of the spinal cord causes syringomyelia, a neurological condition. It is most frequently linked to type 1 Chiari malformations. Syringomyelia can be caused by tumors in the spinal cord, trauma, and post-traumatic or infectious adhesive arachnoiditis. Syringomyelia is shown to have a prevalence of 8.4/100,000 to 0.9/10,000 in certain studies, making it one of the few unusual cases. A large proportion of patients are between 20 and 50 years of age. In our case, the patient is a 17-year-old boy who complained of tingling and weakness in both lower extremities, as well as loss of sensation in both hands. MRI of his spine revealed a Chiari I malformation involving evidence of medulla, fourth ventricle, and cerebellar vermis displacement into the foramen magnum. Arnold Chiari's malformation with cord syringomyelia and tonsillar herniation was diagnosed based on the symptoms and investigation findings. The goal of this case is to highlight the benefits of exercise treatment in improving the patient's quality of life, as physiotherapy protocol instillation is not practiced on a daily basis for such conditions.
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spelling pubmed-95599282022-10-17 Novelty in Impact of Neurorehabilitation in a Classic Case of Syringomyelia Gade, Sanika P Harjpal, Pallavi Kovela, Rakesh K Cureus Physical Medicine & Rehabilitation A fluid-filled hole inside the parenchyma or central canal of the spinal cord causes syringomyelia, a neurological condition. It is most frequently linked to type 1 Chiari malformations. Syringomyelia can be caused by tumors in the spinal cord, trauma, and post-traumatic or infectious adhesive arachnoiditis. Syringomyelia is shown to have a prevalence of 8.4/100,000 to 0.9/10,000 in certain studies, making it one of the few unusual cases. A large proportion of patients are between 20 and 50 years of age. In our case, the patient is a 17-year-old boy who complained of tingling and weakness in both lower extremities, as well as loss of sensation in both hands. MRI of his spine revealed a Chiari I malformation involving evidence of medulla, fourth ventricle, and cerebellar vermis displacement into the foramen magnum. Arnold Chiari's malformation with cord syringomyelia and tonsillar herniation was diagnosed based on the symptoms and investigation findings. The goal of this case is to highlight the benefits of exercise treatment in improving the patient's quality of life, as physiotherapy protocol instillation is not practiced on a daily basis for such conditions. Cureus 2022-09-13 /pmc/articles/PMC9559928/ /pubmed/36258946 http://dx.doi.org/10.7759/cureus.29126 Text en Copyright © 2022, Gade et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Physical Medicine & Rehabilitation
Gade, Sanika P
Harjpal, Pallavi
Kovela, Rakesh K
Novelty in Impact of Neurorehabilitation in a Classic Case of Syringomyelia
title Novelty in Impact of Neurorehabilitation in a Classic Case of Syringomyelia
title_full Novelty in Impact of Neurorehabilitation in a Classic Case of Syringomyelia
title_fullStr Novelty in Impact of Neurorehabilitation in a Classic Case of Syringomyelia
title_full_unstemmed Novelty in Impact of Neurorehabilitation in a Classic Case of Syringomyelia
title_short Novelty in Impact of Neurorehabilitation in a Classic Case of Syringomyelia
title_sort novelty in impact of neurorehabilitation in a classic case of syringomyelia
topic Physical Medicine & Rehabilitation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9559928/
https://www.ncbi.nlm.nih.gov/pubmed/36258946
http://dx.doi.org/10.7759/cureus.29126
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