Introduction

Syringomyelia is a developmental cavity of the cervical cord that may enlarge and produce progressive myelopathy or may remain asymptomatic. It is a potential cause of neuropathic osteoarthropathy like charcot’s joint.

Case Report

A 52 year old gentleman with no significant past medical or surgical history presented with Progressive weakness of both upper and lower limbs involving proximal and distal muscles for last 6 years and loss of pain and temperature sensation over left side of body including face for 3 yrs. Patient had sustained painless burns on his left arm 3 yrs back. Weakness started in the right upper limb, then involved the left upper limb followed by left lower limb and then right lower limb over a period of 4 years. It is then remaining static over a period of 2 years. There is history of bladder involvement in the form of urgency and precipitancy of urine.

Ginu P. George

Junior Resident, Department of General Medicine, Government T D Medical College, Alappuzha