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A Case of Syringomyelia with Arnold-Chiari Malformation

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Stanley Medical College, Department of Medicine
Health & Medicine
1 of 63
PHYSCIAN MEET D. SUBBURAJ MD PG M3 UNIT
[object Object],[object Object],[object Object]
HISTORY OF PRESENTING ILLNESS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
vitals ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DTR RIGHT LEFT BICEPS JERK + ABSENT TRICEPS JERK + + SUPINATOR JERK + ABSENT KNEE JERK + + ANKLE JERK + +
SENSORY SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of the findings ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NERVE CONDUCTION STUDY -NORMAL
MRI CERVICAL SPINE
[object Object],[object Object]
 
 
 
Charcot shoulder ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
FINAL DIAGNOSIS ,[object Object]
Arnold–Chiari malformations ,[object Object]
CM TYPE I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TYPE II ,[object Object],[object Object]
TYPE III ,[object Object],[object Object]
Causes ,[object Object],[object Object]
Type I ,[object Object],[object Object],[object Object],[object Object],[object Object]
SYMPTOMS ,[object Object],[object Object],[object Object],[object Object]
symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
William's theory ,[object Object],[object Object],[object Object],[object Object],[object Object]
New concept ,[object Object],[object Object],[object Object]
syringomyelia ,[object Object],[object Object],[object Object],[object Object],[object Object]
TYPES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Depending on the connection with fourth ventricle ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SENSORY ,[object Object],[object Object],[object Object],[object Object]
MOTOR ,[object Object],[object Object]
AUTONOMIC ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Other manifestations ,[object Object],[object Object],[object Object],[object Object]
imaging ,[object Object],[object Object],[object Object],[object Object]
X ray cervical spine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CT SCAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tonsillar ectopia ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
OTHER FINDINGS IN MRI ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Cine MRI ,[object Object]
Cine MRI – CSF flow analysis
the complete absence of CSF flow behind (arrowheads) and focal constriction of CSF flow (arrows) in front of cervicomedullary junction .
[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Operative Results ,[object Object],[object Object],[object Object]
  Does the size of the malformation matter? ,[object Object]
 

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A Case of Syringomyelia with Arnold-Chiari Malformation

  • 1. PHYSCIAN MEET D. SUBBURAJ MD PG M3 UNIT
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  • 12. DTR RIGHT LEFT BICEPS JERK + ABSENT TRICEPS JERK + + SUPINATOR JERK + ABSENT KNEE JERK + + ANKLE JERK + +
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  • 55. Cine MRI – CSF flow analysis
  • 56. the complete absence of CSF flow behind (arrowheads) and focal constriction of CSF flow (arrows) in front of cervicomedullary junction .
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