Chakraborty PP, Datta S, Ray S, Bhattacharjee R, Chowdhury S. Unilateral neuropathic arthropathy of the shoulder secondary to syringomyelia: Diagnostic challenges. World J Clin Cases 2015; 3(12): 1017-1020 [PMID: 26677453 DOI: 10.12998/wjcc.v3.i12.1017]
Corresponding Author of This Article
Sayantan Ray, MD, Department of Endocrinology, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, 244 AJC Bose Road, Kolkata 700020, West Bengal, India. sayantan.ray30@gmail.com
Research Domain of This Article
Neuroimaging
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Partha Pratim Chakraborty, Saumik Datta, Sayantan Ray, Rana Bhattacharjee, Subhankar Chowdhury, Department of Endocrinology, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata 700020, West Bengal, India
Author contributions: Chakraborty PP was the clinician responsible for care of the patients; Datta S and Ray S drafted the manuscript; Bhattacharjee R revised the manuscript; Ray S reviewed the literature; Chowdhury S provided expert opinion; all the authors contributed to the intellectual content and approved the final version.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards of the Institute of Post-Graduate Medical Education and Research, Kolkata, India.
Informed consent statement: The patient involved in this study gave her written informed consent authorizing use and disclosure of her health information.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Sayantan Ray, MD, Department of Endocrinology, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, 244 AJC Bose Road, Kolkata 700020, West Bengal, India. sayantan.ray30@gmail.com
Telephone: +91-92-31674135 Fax: +91-92-31674135
Received: May 3, 2015 Peer-review started: May 4, 2015 First decision: July 10, 2015 Revised: September 8, 2015 Accepted: October 16, 2015 Article in press: October 19, 2015 Published online: December 16, 2015
Core Tip
Core tip: Neuropathic arthropathy, also called Charcot shoulder, is a chronic, degenerative condition associated with decreased sensory innervation. Syringomyelia patients typically suffer with shoulder and elbow involvement. Since joint symptoms often appear before other signs, neurological deficits are often overshadowed, and the condition is misdiagnosed. In cases of unexplained joint pain, discomfort, and limited range of motion, syringomyelia should always be considered even in the absence of detectable neurological features. To prevent misdiagnoses, clinicians should be aware of the clinical and radiological signs of this rare condition. Timely diagnoses are important to avoid unwanted operative procedures that could lead to unsatisfactory outcomes.
