SİRİNGOMYELİ' YE BAĞLI GELİŞEN CHARCOT DİRSEĞİ: VAKA SUNUMU Charcot Arthropathy Caused By Syringomyelia: Case Report

Yıl 2019, Cilt: 9 Sayı: 4, 172 - 176, 27.12.2019

Çağlar Karabaş , Serap Tomruk Sütbeyaz Mehtap Aykaç Cebicci

Öz

ÖZET
Siringomyeli spinal kordun kronik, dejenaratif, progresif bir hastalığı olup, servikotorasik kordun santralinde
longutidinal kavitasyonlarla karakterizedir. Siringomiyelide, kas atrofisi, güçsüzlük, denge bozukluğu, yüzeyel ve
derin 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 artropati
sunulmaktadır. 2008 yılından beri siringomyeli tanısıyla takip edilen 64 yaşında erkek hasta, iki buçuk aydır sol
dirsekte şişlik ve sol kola doğru yayılan elektriklenme hissi şikayetleri ile fiziksel tıp ve rehabilitasyon polikliniğine
başvurdu. Yapılan fizik muayene ve radyolojik değerlendirmeler sonucunda nöropatik artropati saptanan hastaya
eklem 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 olan
problemin göz ardı edilmesine neden olduğundan bu vakayı sunmak istedik.
Anahtar kelimeler: Charcot eklemi; Siringomyeli; Nöropatik artropati
ABSTRACT
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.
Key words: Charcot joint; Syringomyelia; Neuropathic arthropathy

Anahtar Kelimeler

SİRİNGOMYELİ' YE BAĞLI GELİŞEN CHARCOT DİRSEĞİ: VAKA SUNUMU Charcot Arthropathy Caused By Syringomyelia: Case Report

Kaynakça

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