Neuropathic Shoulder Joint Associated
with Syrinx and Chiari Malformation
Type I Clinically Masquerading as
Malignancy - A Case Report
Published: March 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/31442.11262
Ruchi Gupta, Kishore Kunal, Subhash Kumar, Neetu Sinha, Abhishek Anand
1. Senior Resident, Department of Radiodiagnosis, All India Institute of Medical Sciences, Patna, Bihar, India.
2. Senior Resident, Department of Orthopaedics, All India Institute of Medical Sciences, Patna, Bihar, India.
3. Assistant Professor, Department of Radiodiagnosis, All India Institute of Medical Sciences, Patna, Bihar, India.
4. Senior Resident, Department of Radiodiagnosis, All India Institute of Medical Sciences, Patna, Bihar, India.
5. Senior Resident, Department of Ophthalmology, All India Institute of Medical Sciences, Patna, Bihar, India.
Correspondence
Dr. Ruchi Gupta,
Room No-706, PG1 Hostel, All India Institute of Medical Sciences, Phulwari Sharif-801507, Patna, Bihar, India.
E-mail: drruchigupta28@gmail.com
We report a rare case of 40-years-old male patient who presented with right shoulder joint swelling and reduced range of motion since one and half month. Subsequent X-ray and Magnetic Resonance Imaging (MRI) revealed completely resorbed humeral head, extensive intra-articular debris, joint effusion and thickened synovium. MRI of whole spine showed long segment syrinx, pointed peg of tonsils with tonsillar ectopia and basilar invagination. Diagnosis of atrophic type of Neuropathic shoulder joint secondary to syrinx and Chiari malformation was made.
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