Syringomyelia

Question 1

List the clinical features of syringomelia

Answer 1

Weakness and wasting of small muscle of the hand
Loss of reflexes in upper limbs
Loss of pain/temp but preservation of joint position/vibration
Scars from painless burns
Charcot elbow/shoulder
Pyramidal weakness in lower limbs with upgoing extensor plantars
Kyphoscoliosis
Horners syndrome
Cerebellar/cranial nerve signs if syrinx goes into brainstem