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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery
DOI: 10.1055/s-0044-1779437
Case Report

Charcot Arthropathy of the Shoulder Associated with Syringomyelia: A Report of 2 Cases

Artropatia do ombro de Charcot associada à siringomielia: Relato de 2 casos
Mateus de Sousa Rodrigues 
1   Neurosurgery Department, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina, PE, Brazil
,
Camila Maciel Martins Coelho
2   Nursing Department, Nursing Student Course, Universidade de Pernambuco (UPE), Petrolina, PE, Brazil
,
Alexsandro da Silva Pereira
3   Medical School Department, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina PE, Brazil
,
Fernanda Tavares Neto
4   Pharmacy Department, Universidade Maurício de Nassau (UNINASSAU), Juazeiro do Norte, BA, Brazil
,
Wanderson Ricardo Serapião da Silva
5   Neurosurgical Department, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina, PE, Brazil
,
Heverty Rocha Alves Neto
5   Neurosurgical Department, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina, PE, Brazil
,
Cícero do Juazeiro Job Maciel
6   Neurosurgical Department, São Camilo Hospital, Crato, CE, Brazil
,
Cícero Santos de Lima
5   Neurosurgical Department, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina, PE, Brazil
,
Randson Ranilson Modesto Feitosa
3   Medical School Department, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina PE, Brazil
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Abstract

Charcot arthropathy of the shoulder caused by syringomyelia is a unusual degenerative disorder, frequently misdiagnosed and with few cases described in the literature. The diagnosis is made by clinical evaluation and radiological examinations with radiography and magnetic resonance imaging. However, the correct diagnosis and treatment is possible by carefully medical evaluation and can improve patient symptoms. Therefore, this study aimed to report two cases of Charcot arthropathy caused by syringomyelia. After achieving correct neurosurgical evaluation and magnetic resonance imaging, the diagnosis was made. The first case is a 53-year-old man with a click on his right shoulder for at least 12 months, associated with local edema, pain and limitation of joint range of motion. The second is a 45-year-old man with pain in the right upper limb and difficulty moving the joint for at least 24 months, associated with progressive worsening of the collection and edema in the ipsilateral upper limb. Posterior fossa decompression was performed, with symptoms relief after surgery. Posterior fossa decompression is a treatment that seems to be effective in reducing symptoms, especially when the diagnosis is early. However, this type of treatment still remains controversial, requiring further studies.

Resumo

A artopatia de Charcot do ombro causada por siringomielia é uma doença degenerativa incomum, frequentemente subdiagnosticada e com poucos casos descritos na literatura. O diagnóstico é feito pela avaliação clínica e exames radiológicos com radiografia e ressonância magnética. No entanto, o diagnóstico e tratamento corretos são possíveis mediante avaliação médica criteriosa e podem melhorar os sintomas do paciente. Portanto, este trabalho objetiva relatar dois casos de artropatia de Charcot causada por siringomielia. Após obter correta avaliação neurocirúrgica e ressonância magnética, o diagnóstico foi feito. O primeiro caso é um homem de 53 anos com clique no ombro direito por pelo menos 12 meses, associado a edema local, dor e limitação da amplitude do movimento articular. O segundo é um homem de 45 anos com dor em membro superior direito e dificuldade de movimentação articular há pelo menos 24 meses, associada a piora progressiva da coleção e edema em membro superior ipsilateral. A descompressão da fossa posterior foi realizada, com alívio dos sintomas após a cirurgia. A descompressão da fossa posterior é um tratamento que parece eficaz na redução dos sintomas, principalmente quando o diagnóstico é precoce. Porém, esse tipo de tratamento ainda permanece controverso, necessitando de mais estudos.

Keywords

charcot arthropathy - neurogenic arthropathy - syringomyelia - shoulder

Palavras-chave

artropatia de charcot - artropatia neurogênica - siringomielia - ombro


Publication History

Received: 15 November 2022

Accepted: 21 June 2023

Article published online:
10 May 2024

© 2024. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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