SİRİNGOMYELİ' YE BAĞLI GELİŞEN CHARCOT DİRSEĞİ: VAKA SUNUMU Charcot Arthropathy Caused By Syringomyelia: Case Report
Abstract
ÖZET
Siringomyeli spinal kordun kronik, dejenaratif, progresif bir hastalığı olup, servikotorasik kordun santralinde
longutidinal kavitasyonlarla karakterizedir. Siringomiyelide, kas atrofisi, güçsüzlük, denge bozukluğu, yüzeyel ve
derin duyu bozukluğu gibi belirtiler görülebilir ve ilerleyen dönemlerde hastalarda nöropatik artropati gelişebilmektedir(
1,2).
Bu vaka sunumunda siringomyeli tanısıyla takip edilen erkek hastada sol dirsekte saptanan nöropatik artropati
sunulmaktadır. 2008 yılından beri siringomyeli tanısıyla takip edilen 64 yaşında erkek hasta, iki buçuk aydır sol
dirsekte şişlik ve sol kola doğru yayılan elektriklenme hissi şikayetleri ile fiziksel tıp ve rehabilitasyon polikliniğine
başvurdu. Yapılan fizik muayene ve radyolojik değerlendirmeler sonucunda nöropatik artropati saptanan hastaya
eklem hareket açıklığını korumaya yönelik fizik tedavi programı uygulandı. Dirsek ekleminde nöropatik artropatinin
nadir görülmesi nedeniyle ve hastalarda özellikle ağrısız şişlik ile ortaya çıktığından, eklemde mevcut olan
problemin göz ardı edilmesine neden olduğundan bu vakayı sunmak istedik.
Anahtar kelimeler: Charcot eklemi; Siringomyeli; Nöropatik artropati
ABSTRACT
Syringomyelia is a chronic, degenerative, progressive disease of the spinal cord,characterized by longutidinal
cavitations in the central of cervicothoracic cord. Muscle atrophy, weakness, impaired balance; superficial and
deep sensory disturbances can occur in Syringomyelia and neuropathic arthropathy can develop in patients
later (1,2). In this case presentation, neuropathic arthropathy was detected in the left elbow of a male patient
followed by syringomyelia diagnosis. This 64-year-old male patient followed up with syringomyelia diagnosis
since 2008, he applied Physical Medicine and Rehabilitation Polyclinic with complaints of swelling in the left
elbow and sensation of electric discharge spreading to the left arm. As a result of the physical examination and
radiological evaluations, physical therapy program was applied to protect the joint's range of motion in the
patient detected neuropathic arthropathy. We wanted to present this case since,neuropathic arthropaty in the
elbow joint is rarely encountered and the problem that is present in the joint is ignored because it occurs with
painless swelling.
Key words: Charcot joint; Syringomyelia; Neuropathic arthropathy
References
- 1. Dılek A, Aydoğan A, Çetin N, Akman MN . "Servikal Siringomyelinin İlk Bulgusu Olarak Ortaya Çıkan Dirsekte Nöropatik Artropati: Bir Olgu Sunumu."Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi 53.4 (2007). 2. Unnanuntana A, Saranatra W. "Neuropathic arthropathy of the elbow: a report of two cases."JOURNAL-MEDICAL ASSOCIATION OF THAILAND 89.4 (2006): 533 3. Aly AR, Rajasekaran S, Obaid H, Bernacki B. "Bilateral ulnar neuropathy at the elbow secondary to neuropathic arthropathy associated with syringomyelia."PM&R 5.6 (2013): 533-538. 4. Jones J, Wolf S. Neuropathic shoulder arthropathy (Charcot joint) associated with syringomyelia. Neurology. 1998;50:825–7. 5. 5-Stewart N, Kevin K. "Syringomyelic Neuropathic Arthropathy of the Elbow."The New Zealand medical journal 129.1443 (2016): 87. 6. Jones EA, Manaster BJ, May DA, Disler DG. "Neuropathic Osteoarthropathy: Diagnostic Dilemmas and Differential Diagnosis 1."Radiographics 20.suppl_1 (2000): S279-S293. 7. Hatzis N, Kaar TK, Wirth MA, Toro F, Rockwood CA Jr. "Neuropathic arthropathy of the shoulder."J Bone Joint Surg Am 80.9 (1998): 1314-1319. 8. Atalar AC, Sungur M, Demirhan M, Ozger H. "Neuropathic arthropathy of the shoulder associated with syringomyelia: a report of six cases."Acta Orthop Traumatol Turc 44.4 (2010): 328-36. 9. Nacir B, Arslan Cebeci S, Cetinkaya E, Karagoz A, Erdem Hthe upper extremity due to syringomyelia and type I Arnold-Chiari malformation."Rheumatology international 30.7 (2010): 979-983. 10. Deng X, Wu L, Yang C, Xu Y. "Neuropathic arthropathy caused by syringomyelia: Clinical article."Journal of Neurosurgery: Spine 18.3 (2013): 303-309. 11. Brower AC, Allman RM. "Pathogenesis of the neurotrophic joint: neurotraumatic vs. neurovascular."Radiology 139.2 (1981): 349-354 12. Yanık B, Tuncer S, Seçkin B. "Neuropathic arthropathy caused by Arnold–Chiari malformation with syringomyelia."Rheumatology international 24.4 (2004): 238-241. 13. Sequeira W. "The neuropathic joint."Clinical and experimental rheumatology12.3 (1993): 325-337. 14. Nambiar M, Onggo JR, Pai V. Neuropathic arthropathy of the shoulder joint secondary to a syringomyelia. BMJ Case Reports CP 2018;11:bcr-2018-228228. 15. Wang X, Li Y, Gao J, Wang T, Li Z. "Charcot arthropathy of the shoulder joint as a presenting feature of basilar impression with syringomyelia: A case report and literature review." Medicine 97.28 (2018). 16. Deirmengian CA, Lee SG, Jupiter JB. "Neuropathic arthropathy of the elbow."J Bone Joint Surg Am 83.6 (2001): 839-844.R. "Neuropathic arthropathy progressing with multiple joint involvement in
Abstract
References
- 1. Dılek A, Aydoğan A, Çetin N, Akman MN . "Servikal Siringomyelinin İlk Bulgusu Olarak Ortaya Çıkan Dirsekte Nöropatik Artropati: Bir Olgu Sunumu."Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi 53.4 (2007). 2. Unnanuntana A, Saranatra W. "Neuropathic arthropathy of the elbow: a report of two cases."JOURNAL-MEDICAL ASSOCIATION OF THAILAND 89.4 (2006): 533 3. Aly AR, Rajasekaran S, Obaid H, Bernacki B. "Bilateral ulnar neuropathy at the elbow secondary to neuropathic arthropathy associated with syringomyelia."PM&R 5.6 (2013): 533-538. 4. Jones J, Wolf S. Neuropathic shoulder arthropathy (Charcot joint) associated with syringomyelia. Neurology. 1998;50:825–7. 5. 5-Stewart N, Kevin K. "Syringomyelic Neuropathic Arthropathy of the Elbow."The New Zealand medical journal 129.1443 (2016): 87. 6. Jones EA, Manaster BJ, May DA, Disler DG. "Neuropathic Osteoarthropathy: Diagnostic Dilemmas and Differential Diagnosis 1."Radiographics 20.suppl_1 (2000): S279-S293. 7. Hatzis N, Kaar TK, Wirth MA, Toro F, Rockwood CA Jr. "Neuropathic arthropathy of the shoulder."J Bone Joint Surg Am 80.9 (1998): 1314-1319. 8. Atalar AC, Sungur M, Demirhan M, Ozger H. "Neuropathic arthropathy of the shoulder associated with syringomyelia: a report of six cases."Acta Orthop Traumatol Turc 44.4 (2010): 328-36. 9. Nacir B, Arslan Cebeci S, Cetinkaya E, Karagoz A, Erdem Hthe upper extremity due to syringomyelia and type I Arnold-Chiari malformation."Rheumatology international 30.7 (2010): 979-983. 10. Deng X, Wu L, Yang C, Xu Y. "Neuropathic arthropathy caused by syringomyelia: Clinical article."Journal of Neurosurgery: Spine 18.3 (2013): 303-309. 11. Brower AC, Allman RM. "Pathogenesis of the neurotrophic joint: neurotraumatic vs. neurovascular."Radiology 139.2 (1981): 349-354 12. Yanık B, Tuncer S, Seçkin B. "Neuropathic arthropathy caused by Arnold–Chiari malformation with syringomyelia."Rheumatology international 24.4 (2004): 238-241. 13. Sequeira W. "The neuropathic joint."Clinical and experimental rheumatology12.3 (1993): 325-337. 14. Nambiar M, Onggo JR, Pai V. Neuropathic arthropathy of the shoulder joint secondary to a syringomyelia. BMJ Case Reports CP 2018;11:bcr-2018-228228. 15. Wang X, Li Y, Gao J, Wang T, Li Z. "Charcot arthropathy of the shoulder joint as a presenting feature of basilar impression with syringomyelia: A case report and literature review." Medicine 97.28 (2018). 16. Deirmengian CA, Lee SG, Jupiter JB. "Neuropathic arthropathy of the elbow."J Bone Joint Surg Am 83.6 (2001): 839-844.R. "Neuropathic arthropathy progressing with multiple joint involvement in
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 27, 2019 |
| Published in Issue | Year 2019 Volume: 9 Issue: 4 |