Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow

Adam Alayli; Jonah Gordon; Khaled Abdelghany; Gavin Lockard; Anthony Urbisci; Gautam Rao; Nam Tran

doi:doi:10.11648/j.ijn.20220602.14

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Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow

Adam Alayli, Jonah Gordon, Khaled Abdelghany, Gavin Lockard, Anthony Urbisci, Gautam Rao, Nam Tran

Published in International Journal of Neurosurgery (Volume 6, Issue 2)

Received: 19 August 2022 Accepted: 13 September 2022 Published: 27 September 2022

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Abstract

Neuropathic arthropathy (NA), or Charcot arthropathy, involves rapid degeneration and instability of a joint caused by hypesthesia. This condition is commonly caused by diabetes, while syringomyelia and arachnoid granulations are rare causes of NA. We report a 50-year old male who presents with progressive numbness to his arms, weakness to his right hand and mass to the right elbow. A diagnosis of neuropathic arthropathy of the elbow was made after MRI of the cervical and thoracic spine revealed a compressive thoracic arachnoid granulation causing cervical syringomyelia. We highlight the importance of a thorough workup including key imaging characteristics that resulted in the diagnosis. Thoracic surgical decompression successfully restored CSF flow and reduced the cervical syringomyelia. The patient remained neurologically stable at the most recent follow-up, although no known treatment halts disease progression once NA has developed.

Published in	International Journal of Neurosurgery (Volume 6, Issue 2)
DOI	10.11648/j.ijn.20220602.14
Page(s)	48-51
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Neuropathic Arthropathy, Charcot Joint, Arachnoid Cyst, Syringomyelia

References

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[2]	Buse AM, Mihai DA, Lupu L, Salmen T, Stegaru D, Radulian G. The Charcot Neuroarthropathy as Onset of Type 2 Diabetes - a Diagnostic Challenge. Maedica (Bucur). 2020 Mar; 15 (1): 122-125. doi: 10.26574/maedica.2020.15.1.122. PMID: 32419872; PMCID: PMC7221283.
[3]	Parida MK, Pattanaik SS, Panda AK, Das BK, Tripathy SR. Charcot arthropathy of elbow due to syringomyelia: a case series and systematic review of literature. Clin Rheumatol. 2022 Aug 22. doi: 10.1007/s10067-022-06332-7. Epub ahead of print. PMID: 35994178.
[4]	Flint G. Syringomyelia: diagnosis and management. Pract Neurol. 2021 Oct; 21 (5): 403-411. doi: 10.1136/practneurol-2021-002994. Epub 2021 Aug 25. PMID: 34433683.
[5]	Mallucci CL, Stacey RJ, Miles JB, Williams B. Idiopathic syringomyelia and the importance of occult arachnoid webs, pouches and cysts. Br J Neurosurg. 1997 Aug; 11 (4): 306-9. doi: 10.1080/02688699746087. PMID: 9337928.
[6]	Jones EA, Manaster BJ, May DA, Disler DG. Neuropathic osteoarthropathy: diagnostic dilemmas and differential diagnosis. Radiographics. 2000 Oct; 20 Spec No: S279-93. doi: 10.1148/radiographics.20.suppl_1.g00oc22s279. PMID: 11046179.
[7]	Waldman S, Shimonov M, Yang N, Spielman D, Godfrey KJ, Dean KE, Phillips CD, Helman SN. Benign bony tumors of the paranasal sinuses, orbit, and skull base. Am J Otolaryngol. 2022 May-Jun; 43 (3): 103404. doi: 10.1016/j.amjoto.2022.103404. Epub 2022 Feb 26. PMID: 35246319.
[8]	Dogan BE, Sahin G, Yagmurlu B, Erden I. Neuroarthropathy of the extremities: magnetic resonance imaging features. Curr Probl Diagn Radiol. 2003 Nov-Dec; 32 (6): 227-32. doi: 10.1016/j.cpradiol.2003.08.004. PMID: 14647121.
[9]	Wawrzyniak A, Lubiatowski P, Kordasiewicz B, Brzóska R, Laprus H. Shoulder arthropathy secondary to syringomyelia: case series of 10 patients. Eur J Orthop Surg Traumatol. 2022 Oct; 32 (7): 1275-1281. doi: 10.1007/s00590-021-03102-0. Epub 2021 Aug 24. PMID: 34430987.
[10]	Rastogi A, Bhansali A, Jude EB. Efficacy of medical treatment for Charcot neuroarthropathy: a systematic review and meta-analysis of randomized controlled trials. Acta Diabetol. 2021 Jun; 58 (6): 687-696. doi: 10.1007/s00592-020-01664-9. Epub 2021 Jan 13. PMID: 33439331.

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APA Style

Adam Alayli, Jonah Gordon, Khaled Abdelghany, Gavin Lockard, Anthony Urbisci, et al. (2022). Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow. International Journal of Neurosurgery, 6(2), 48-51. https://doi.org/10.11648/j.ijn.20220602.14

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ACS Style

Adam Alayli; Jonah Gordon; Khaled Abdelghany; Gavin Lockard; Anthony Urbisci, et al. Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow. Int. J. Neurosurg. 2022, 6(2), 48-51. doi: 10.11648/j.ijn.20220602.14

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AMA Style

Adam Alayli, Jonah Gordon, Khaled Abdelghany, Gavin Lockard, Anthony Urbisci, et al. Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow. Int J Neurosurg. 2022;6(2):48-51. doi: 10.11648/j.ijn.20220602.14

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@article{10.11648/j.ijn.20220602.14,
  author = {Adam Alayli and Jonah Gordon and Khaled Abdelghany and Gavin Lockard and Anthony Urbisci and Gautam Rao and Nam Tran},
  title = {Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow},
  journal = {International Journal of Neurosurgery},
  volume = {6},
  number = {2},
  pages = {48-51},
  doi = {10.11648/j.ijn.20220602.14},
  url = {https://doi.org/10.11648/j.ijn.20220602.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20220602.14},
  abstract = {Neuropathic arthropathy (NA), or Charcot arthropathy, involves rapid degeneration and instability of a joint caused by hypesthesia. This condition is commonly caused by diabetes, while syringomyelia and arachnoid granulations are rare causes of NA. We report a 50-year old male who presents with progressive numbness to his arms, weakness to his right hand and mass to the right elbow. A diagnosis of neuropathic arthropathy of the elbow was made after MRI of the cervical and thoracic spine revealed a compressive thoracic arachnoid granulation causing cervical syringomyelia. We highlight the importance of a thorough workup including key imaging characteristics that resulted in the diagnosis. Thoracic surgical decompression successfully restored CSF flow and reduced the cervical syringomyelia. The patient remained neurologically stable at the most recent follow-up, although no known treatment halts disease progression once NA has developed.},
 year = {2022}
}

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TY  - JOUR
T1  - Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow
AU  - Adam Alayli
AU  - Jonah Gordon
AU  - Khaled Abdelghany
AU  - Gavin Lockard
AU  - Anthony Urbisci
AU  - Gautam Rao
AU  - Nam Tran
Y1  - 2022/09/27
PY  - 2022
N1  - https://doi.org/10.11648/j.ijn.20220602.14
DO  - 10.11648/j.ijn.20220602.14
T2  - International Journal of Neurosurgery
JF  - International Journal of Neurosurgery
JO  - International Journal of Neurosurgery
SP  - 48
EP  - 51
PB  - Science Publishing Group
SN  - 2640-1959
UR  - https://doi.org/10.11648/j.ijn.20220602.14
AB  - Neuropathic arthropathy (NA), or Charcot arthropathy, involves rapid degeneration and instability of a joint caused by hypesthesia. This condition is commonly caused by diabetes, while syringomyelia and arachnoid granulations are rare causes of NA. We report a 50-year old male who presents with progressive numbness to his arms, weakness to his right hand and mass to the right elbow. A diagnosis of neuropathic arthropathy of the elbow was made after MRI of the cervical and thoracic spine revealed a compressive thoracic arachnoid granulation causing cervical syringomyelia. We highlight the importance of a thorough workup including key imaging characteristics that resulted in the diagnosis. Thoracic surgical decompression successfully restored CSF flow and reduced the cervical syringomyelia. The patient remained neurologically stable at the most recent follow-up, although no known treatment halts disease progression once NA has developed.
VL  - 6
IS  - 2
ER  -

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Author Information

Adam Alayli

College of Medicine, University of South Florida Morsani, Tampa, Unites States
Jonah Gordon

College of Medicine, University of South Florida Morsani, Tampa, Unites States
Khaled Abdelghany

College of Medicine, University of South Florida Morsani, Tampa, Unites States
Gavin Lockard

College of Medicine, University of South Florida Morsani, Tampa, Unites States
Anthony Urbisci

Department of Physical Medicine and Rehabilitation, James A. Haley Veterans Hospital, University of Florida, Tampa, Unites States
Gautam Rao

Department of Neurosurgery, University of South Florida, Tampa, Unites States
Nam Tran

Department of Neurosurgery, University of South Florida, Tampa, Unites States

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APA Style

Adam Alayli, Jonah Gordon, Khaled Abdelghany, Gavin Lockard, Anthony Urbisci, et al. (2022). Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow. International Journal of Neurosurgery, 6(2), 48-51. https://doi.org/10.11648/j.ijn.20220602.14

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ACS Style

Adam Alayli; Jonah Gordon; Khaled Abdelghany; Gavin Lockard; Anthony Urbisci, et al. Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow. Int. J. Neurosurg. 2022, 6(2), 48-51. doi: 10.11648/j.ijn.20220602.14

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AMA Style

Adam Alayli, Jonah Gordon, Khaled Abdelghany, Gavin Lockard, Anthony Urbisci, et al. Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow. Int J Neurosurg. 2022;6(2):48-51. doi: 10.11648/j.ijn.20220602.14

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@article{10.11648/j.ijn.20220602.14,
  author = {Adam Alayli and Jonah Gordon and Khaled Abdelghany and Gavin Lockard and Anthony Urbisci and Gautam Rao and Nam Tran},
  title = {Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow},
  journal = {International Journal of Neurosurgery},
  volume = {6},
  number = {2},
  pages = {48-51},
  doi = {10.11648/j.ijn.20220602.14},
  url = {https://doi.org/10.11648/j.ijn.20220602.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20220602.14},
  abstract = {Neuropathic arthropathy (NA), or Charcot arthropathy, involves rapid degeneration and instability of a joint caused by hypesthesia. This condition is commonly caused by diabetes, while syringomyelia and arachnoid granulations are rare causes of NA. We report a 50-year old male who presents with progressive numbness to his arms, weakness to his right hand and mass to the right elbow. A diagnosis of neuropathic arthropathy of the elbow was made after MRI of the cervical and thoracic spine revealed a compressive thoracic arachnoid granulation causing cervical syringomyelia. We highlight the importance of a thorough workup including key imaging characteristics that resulted in the diagnosis. Thoracic surgical decompression successfully restored CSF flow and reduced the cervical syringomyelia. The patient remained neurologically stable at the most recent follow-up, although no known treatment halts disease progression once NA has developed.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Thoracic Spinal Arachnoid Cyst Causing Neuropathic Arthropathy of the Elbow
AU  - Adam Alayli
AU  - Jonah Gordon
AU  - Khaled Abdelghany
AU  - Gavin Lockard
AU  - Anthony Urbisci
AU  - Gautam Rao
AU  - Nam Tran
Y1  - 2022/09/27
PY  - 2022
N1  - https://doi.org/10.11648/j.ijn.20220602.14
DO  - 10.11648/j.ijn.20220602.14
T2  - International Journal of Neurosurgery
JF  - International Journal of Neurosurgery
JO  - International Journal of Neurosurgery
SP  - 48
EP  - 51
PB  - Science Publishing Group
SN  - 2640-1959
UR  - https://doi.org/10.11648/j.ijn.20220602.14
AB  - Neuropathic arthropathy (NA), or Charcot arthropathy, involves rapid degeneration and instability of a joint caused by hypesthesia. This condition is commonly caused by diabetes, while syringomyelia and arachnoid granulations are rare causes of NA. We report a 50-year old male who presents with progressive numbness to his arms, weakness to his right hand and mass to the right elbow. A diagnosis of neuropathic arthropathy of the elbow was made after MRI of the cervical and thoracic spine revealed a compressive thoracic arachnoid granulation causing cervical syringomyelia. We highlight the importance of a thorough workup including key imaging characteristics that resulted in the diagnosis. Thoracic surgical decompression successfully restored CSF flow and reduced the cervical syringomyelia. The patient remained neurologically stable at the most recent follow-up, although no known treatment halts disease progression once NA has developed.
VL  - 6
IS  - 2
ER  -

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