Teaching NeuroImages: The Charcot shoulder: Chiari malformation with syringomyelia associated with arthropathy

A 39-year-old man presented with 1-year history of shoulder pain, swelling, and limitation of movement. There was a 20-year history of left shoulder and arm numbness. Examination showed decreased vibratory sensitivity on left shoulder, glenohumeral instability, and dislocation. Radiography showed humeral head destruction (figure 1); a spine MRI showed tonsillar herniation and cervical syringomyelia (figure 2). Arthropathy related to syringomyelia was diagnosed.

Source: Neurology - July 24, 2017 Category: Neurology Authors: Bocca, L. F., Tonholo Silva, T. Y., Ejnisman, B., Pedroso, J. L., Barsottini, O. G. Tags: MRI, All Clinical Neurology, Peripheral neuropathy RESIDENT AND FELLOW SECTION Source Type: research