Patient with Spastic Ataxic Quadriparesis-Case of Arnold Chiari Type-1 Malformation

Authors

  • Nurul Amin Khan Associate Professor, Department of Neuromedicine, Dhaka National Medical College
  • Shaheen Wadud Associate Professor (c c), Department of Neuromedicine, Dhaka National Medical College
  • Torikul Islam Registrar, Department of Neuromedicine, Dhaka National Medical College
  • Liton Chandra Ghosh Associate Professor, Department of Nephrology, Dhaka National Medical College

DOI:

https://doi.org/10.3329/jdnmch.v26i2.80181

Keywords:

Spastic Ataxic Quadriparesis, Arnold Chiari Malformation

Abstract

A 22 years old patient presented with complaints of weakness in all four limbs and ataxia for 2 months. He had also history of slurring of speech and inclining to right side during walking. His gait was wide based and spastic ataxic. Patient was spastic quadriparetic with subtle right sided cerebellar sign and dissociated sensory loss in both upper limb and right Hemithorax. MRI of the brain and cervical spine revealed tonsillar herniation > 12 mm in cervical canal with large syrinx from cervical cord to thoracic region. Finally, the case was diagnosed as a Chiari Type-1 Malformation. Early diagnosis and intervention by Neurosurgeon actually halted the further syrinx extension and reduce neurological deficit with improvement of daily life activities.

J. Dhaka National Med. Coll. Hos. 2020; 26 (02): 33-35

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Published

2020-09-30

How to Cite

Khan, N. A., Wadud, S., Islam, T., & Ghosh, L. C. (2020). Patient with Spastic Ataxic Quadriparesis-Case of Arnold Chiari Type-1 Malformation. Journal of Dhaka National Medical College & Hospital, 26(2), 33–35. https://doi.org/10.3329/jdnmch.v26i2.80181

Issue

Vol. 26 No. 2 (2020)

Section

Case Reports