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  • Title: Syringomyelic syndrome: clinical features in 31 cases confirmed by CT myelography or magnetic resonance imaging.
    Author: Tashiro K, Fukazawa T, Moriwaka F, Hamada T, Isu T, Iwasaki Y, Abe H.
    Journal: J Neurol; 1987 Oct; 235(1):26-30. PubMed ID: 3430180.
    Abstract:
    The clinical features of 31 cases of syringomyelic syndrome, confirmed by metrizamide CT myelography (CTM) or magnetic resonance imaging (MRI), were analysed. Bilateral suspended sensory disturbance, previously regarded as a characteristic feature, was encountered in only 2 cases (6.5%). Thirteen patients (41.9%) showed no motor deficits of the upper limbs and 7 patients (22.6%) did not have weakness or atrophy in any of the four extremities. Cervical segmental signs were absent in 7 cases (22.6%) and in 2 (6.5%) signs were only present in the lower limbs. Scoliosis and foot deformity, such as pes cavus or equinovarus, were seen in 17 (54.8%) and 5 cases (16.1%) respectively. These skeletal abnormalities were initial symptoms in some childhood cases. In syringomyelic syndrome, clinical features are variable with many atypical clinical manifestations, apart from the previously recognized characteristic clinical features.
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