Syringomyelia with Chiari I Malformation Presenting as Hip Charcot Arthropathy: A Case Report and Literature Review

Neuroarthropathy (neuropathic osteoarthropathy), also known as Charcot joint, is a condition characterized by a progressive articular surface destruction in the setting of impaired nociceptive and proprioceptive innervation of the involved joint. It is seen most commonly in the foot and ankle second...

Full description

Bibliographic Details
Main Authors: Roya Memarpour, Basheer Tashtoush, Lydia Issac, Fernando Gonzalez-Ibarra
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2015/487931
id doaj-83653ef7ac574ac2a2a95c81af8e19c8
record_format Article
spelling doaj-83653ef7ac574ac2a2a95c81af8e19c82020-11-24T23:56:53ZengHindawi LimitedCase Reports in Neurological Medicine2090-66682090-66762015-01-01201510.1155/2015/487931487931Syringomyelia with Chiari I Malformation Presenting as Hip Charcot Arthropathy: A Case Report and Literature ReviewRoya Memarpour0Basheer Tashtoush1Lydia Issac2Fernando Gonzalez-Ibarra3Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USADepartment of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USARoss University School of Medicine, 630 US Highway 1, North Brunswick, NJ 08902, USADepartment of Internal Medicine, Mount Sinai School of Medicine, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302, USANeuroarthropathy (neuropathic osteoarthropathy), also known as Charcot joint, is a condition characterized by a progressive articular surface destruction in the setting of impaired nociceptive and proprioceptive innervation of the involved joint. It is seen most commonly in the foot and ankle secondary to peripheral neuropathy associated with diabetes mellitus. Cases of hip (Charcot) neuroarthropathy are rare and almost exclusively reported in patients with neurosyphilis (tabes dorsalis). We report a case of a 36-year-old man who presented to the emergency department complaining of right hip pain. On physical examination, pain and thermal sensory deficits were noted in the upper torso with a cape-like distribution, as well as signs of an upper motor neuron lesion in the left upper and lower extremities. A magnetic resonance imaging study (MRI) of the right hip showed evidence of early articular surface destruction and periarticular edema consistent with hip Charcot arthropathy. An MRI of the spine revealed an Arnold-Chiari type I malformation with extensive syringohydromyelia of the cervical and thoracic spine.http://dx.doi.org/10.1155/2015/487931
collection DOAJ
language English
format Article
sources DOAJ
author Roya Memarpour
Basheer Tashtoush
Lydia Issac
Fernando Gonzalez-Ibarra
spellingShingle Roya Memarpour
Basheer Tashtoush
Lydia Issac
Fernando Gonzalez-Ibarra
Syringomyelia with Chiari I Malformation Presenting as Hip Charcot Arthropathy: A Case Report and Literature Review
Case Reports in Neurological Medicine
author_facet Roya Memarpour
Basheer Tashtoush
Lydia Issac
Fernando Gonzalez-Ibarra
author_sort Roya Memarpour
title Syringomyelia with Chiari I Malformation Presenting as Hip Charcot Arthropathy: A Case Report and Literature Review
title_short Syringomyelia with Chiari I Malformation Presenting as Hip Charcot Arthropathy: A Case Report and Literature Review
title_full Syringomyelia with Chiari I Malformation Presenting as Hip Charcot Arthropathy: A Case Report and Literature Review
title_fullStr Syringomyelia with Chiari I Malformation Presenting as Hip Charcot Arthropathy: A Case Report and Literature Review
title_full_unstemmed Syringomyelia with Chiari I Malformation Presenting as Hip Charcot Arthropathy: A Case Report and Literature Review
title_sort syringomyelia with chiari i malformation presenting as hip charcot arthropathy: a case report and literature review
publisher Hindawi Limited
series Case Reports in Neurological Medicine
issn 2090-6668
2090-6676
publishDate 2015-01-01
description Neuroarthropathy (neuropathic osteoarthropathy), also known as Charcot joint, is a condition characterized by a progressive articular surface destruction in the setting of impaired nociceptive and proprioceptive innervation of the involved joint. It is seen most commonly in the foot and ankle secondary to peripheral neuropathy associated with diabetes mellitus. Cases of hip (Charcot) neuroarthropathy are rare and almost exclusively reported in patients with neurosyphilis (tabes dorsalis). We report a case of a 36-year-old man who presented to the emergency department complaining of right hip pain. On physical examination, pain and thermal sensory deficits were noted in the upper torso with a cape-like distribution, as well as signs of an upper motor neuron lesion in the left upper and lower extremities. A magnetic resonance imaging study (MRI) of the right hip showed evidence of early articular surface destruction and periarticular edema consistent with hip Charcot arthropathy. An MRI of the spine revealed an Arnold-Chiari type I malformation with extensive syringohydromyelia of the cervical and thoracic spine.
url http://dx.doi.org/10.1155/2015/487931
work_keys_str_mv AT royamemarpour syringomyeliawithchiariimalformationpresentingashipcharcotarthropathyacasereportandliteraturereview
AT basheertashtoush syringomyeliawithchiariimalformationpresentingashipcharcotarthropathyacasereportandliteraturereview
AT lydiaissac syringomyeliawithchiariimalformationpresentingashipcharcotarthropathyacasereportandliteraturereview
AT fernandogonzalezibarra syringomyeliawithchiariimalformationpresentingashipcharcotarthropathyacasereportandliteraturereview
_version_ 1725456002878275584