Arnold-Chiari malformation with syringomyelia in an elderly woman

Cristina Geroldi, Giovanni B. Frisoni, Angelo Bianchetti, Marco Trabucchi, Albino Bricolo

Research output: Contribution to journalArticle

Abstract

Presentation: a 76-year-old woman, complaining of leg pain and unsteady gait for 3 years, presented with a spastic paraparetic gait, severe spasticity and touch, thermal and pain sensory loss limited to arms, lower thorax and upper abdomen. Brain and spinal cord magnetic resonance imaging showed a large loculated syrinx. Cerebellar tonsillar herniation into the foramen magnum was also seen (Arnold-Chiari malformation, type I). Outcome: the patient had successful cervico-spinal surgical decompression which resulted in marked reduction in hypertonia and weakness, normal gait and normal joint movement at 6 months. Conclusion: this unusual, late clinical presentation of a congenital disease underlines the importance of a comprehensive diagnostic work-up in the elderly patients with complex neurological signs.

Original languageEnglish
Pages (from-to)399-400
Number of pages2
JournalAge and Ageing
Volume28
Issue number4
DOIs
Publication statusPublished - 1999

Keywords

  • Arnold-Chiari malformation
  • Elderly people
  • Syringomyelia

ASJC Scopus subject areas

  • Ageing

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