Çağlar KARABAŞ, Mehtap AYKAÇ CEBİCCİ, Serap TOMRUK SÜTBEYAZ

SİRİNGOMYELİ' YE BAĞLI GELİŞEN CHARCOT DİRSEĞİ: VAKA SUNUMU

Siringomyeli spinal kordun kronik, dejenaratif, progresif bir hastalığı olup, servikotorasik kordun santralindelongutidinal kavitasyonlarla karakterizedir. Siringomiyelide, kas atrofisi, güçsüzlük, denge bozukluğu, yüzeyel vederin 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 artropatisunulmaktadır. 2008 yılından beri siringomyeli tanısıyla takip edilen 64 yaşında erkek hasta, iki buçuk aydır soldirsekte şişlik ve sol kola doğru yayılan elektriklenme hissi şikayetleri ile fiziksel tıp ve rehabilitasyon polikliniğinebaşvurdu. Yapılan fizik muayene ve radyolojik değerlendirmeler sonucunda nöropatik artropati saptanan hastayaeklem 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 olanproblemin göz ardı edilmesine neden olduğundan bu vakayı sunmak istedik.

Charcot Arthropathy Caused By Syringomyelia: Case Report

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.

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