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PHYSCIAN MEET  D. SUBBURAJ  MD PG M3 UNIT
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HISTORY OF PRESENTING ILLNESS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
vitals ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DTR RIGHT LEFT BICEPS  JERK + ABSENT TRICEPS JERK + + SUPINATOR  JERK + ABSENT KNEE JERK + + ANKLE JERK + +
SENSORY SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of the findings ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NERVE CONDUCTION STUDY  -NORMAL
MRI CERVICAL SPINE
[object Object],[object Object]
 
 
 
Charcot shoulder ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
FINAL DIAGNOSIS ,[object Object]
Arnold–Chiari malformations ,[object Object]
CM TYPE I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TYPE II ,[object Object],[object Object]
TYPE III ,[object Object],[object Object]
Causes  ,[object Object],[object Object]
Type I ,[object Object],[object Object],[object Object],[object Object],[object Object]
SYMPTOMS ,[object Object],[object Object],[object Object],[object Object]
symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
William's theory ,[object Object],[object Object],[object Object],[object Object],[object Object]
New concept ,[object Object],[object Object],[object Object]
syringomyelia ,[object Object],[object Object],[object Object],[object Object],[object Object]
TYPES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Depending on the connection with  fourth ventricle ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SENSORY ,[object Object],[object Object],[object Object],[object Object]
MOTOR ,[object Object],[object Object]
AUTONOMIC ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Other manifestations ,[object Object],[object Object],[object Object],[object Object]
imaging ,[object Object],[object Object],[object Object],[object Object]
X ray cervical spine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CT SCAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tonsillar ectopia ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
OTHER FINDINGS IN MRI ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Cine MRI ,[object Object]
Cine MRI – CSF flow analysis
the complete absence of CSF flow behind (arrowheads) and focal constriction of CSF flow (arrows) in front of cervicomedullary junction .
[object Object]
Treatment  ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Operative Results ,[object Object],[object Object],[object Object]
   Does the size of the malformation matter? ,[object Object]
 

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A Case of Syringomyelia with Arnold-Chiari Malformation

  • 1. PHYSCIAN MEET D. SUBBURAJ MD PG M3 UNIT
  • 2.
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  • 5.  
  • 6.
  • 7.
  • 8.
  • 9.
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  • 11.
  • 12. DTR RIGHT LEFT BICEPS JERK + ABSENT TRICEPS JERK + + SUPINATOR JERK + ABSENT KNEE JERK + + ANKLE JERK + +
  • 13.
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  • 55. Cine MRI – CSF flow analysis
  • 56. the complete absence of CSF flow behind (arrowheads) and focal constriction of CSF flow (arrows) in front of cervicomedullary junction .
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
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  • 63.