Department of Neurosurgery, University Hospital Dubrava, Zagreb, Croatia.
Wien Klin Wochenschr. 2011 Aug;123(15-16):512-4. doi: 10.1007/s00508-011-0010-3. Epub 2011 Jul 12.
We are presenting a case report of neuropathic arthropathy of the shoulder secondary to a syringomyelia and Chiari type I malformation, with detailed clinical and radiological findings. Neuropathic joints were first described in 1868 by Charcot, and subsequently were described in many types of peripheral diseases and central neuron diseases. There are many causes of syringomyelia, and one of the causes of this disease is a Chiari type I malformation. Subsequently, shoulders and elbows are most commonly affected by syringomyelia-induced neuropathy. Our patient was observed for six years after being diagnosed with neuropathic arthropathy and syringomyelia caused by Chiari and did not show any disease progression after their surgery.
我们呈现了一例继发于脊髓空洞症和 Chiari Ⅰ型畸形的肩神经病性关节病的病例报告，详细介绍了临床和影像学发现。神经病性关节于 1868 年由 Charcot 首次描述，随后在许多周围疾病和中枢神经元疾病中被描述。脊髓空洞症有许多病因，该病的病因之一是 Chiari Ⅰ型畸形。随后，肩部和肘部是最常受脊髓空洞症引起的神经病影响的关节。我们的患者在被诊断为 Chiari 引起的神经病性关节病和脊髓空洞症后观察了六年，手术后没有出现任何疾病进展。
