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Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?

Maria Gogou, Martha Spilioti, Despoina Tramma, Efimia Papadopoulou-Alataki, Athanasios Evangeliou.


Abstract
A 10-year-old girl was admitted to the Emergency Department due to a history of intermittent pain located in the left radiocarpal joint for a month, as well as in the interphalangeal joints of the left hand without any additional symptoms. Clinical examination revealed mild sensory deficits and diminished muscle strength of the left upper limb without any other pathologic findings. A Magnetic Resonance Imaging scan of the brain and spinal cord was performed, which confirmed a diagnosis of thoracic syringomyelia. We briefly discuss specific traits and diagnostic challenges of this entity in childhood. Our case highlights the difficulty in efficiently correlating a pathologic imaging finding with clinical neurologic symptoms and signs, as well as the value of a thorough clinical neurological evaluation. Furthermore, a clear discrimination of a causal relationship against an incidental co-existence of a radiological finding and a specific symptom is not always possible.

Key words: Children; Intermittent Pain; Neurologic Examination; Spine Cord Pathology; Syringomyelia


 
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How to Cite this Article
Pubmed Style

Gogou M, Spilioti M, Tramma D, Papadopoulou-Alataki E, Evangeliou A. Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?. Sudan J Paed. 2017; 17(1): 57-60.

Web Style

Gogou M, Spilioti M, Tramma D, Papadopoulou-Alataki E, Evangeliou A. Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?. https://sudanjp.com//?mno=285369 [Access: June 22, 2024].

AMA (American Medical Association) Style

Gogou M, Spilioti M, Tramma D, Papadopoulou-Alataki E, Evangeliou A. Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?. Sudan J Paed. 2017; 17(1): 57-60.


Vancouver/ICMJE Style

Gogou M, Spilioti M, Tramma D, Papadopoulou-Alataki E, Evangeliou A. Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?. Sudan J Paed. (2017), [cited June 22, 2024]; 17(1): 57-60.


Harvard Style

Gogou, M., Spilioti, . M., Tramma, . D., Papadopoulou-Alataki, . E. & Evangeliou, . A. (2017) Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?. Sudan J Paed, 17 (1), 57-60.


Turabian Style

Gogou, Maria, Martha Spilioti, Despoina Tramma, Efimia Papadopoulou-Alataki, and Athanasios Evangeliou. 2017. Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?. Sudanese Journal of Paediatrics, 17 (1), 57-60.


Chicago Style

Gogou, Maria, Martha Spilioti, Despoina Tramma, Efimia Papadopoulou-Alataki, and Athanasios Evangeliou. "Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?." Sudanese Journal of Paediatrics 17 (2017), 57-60.


MLA (The Modern Language Association) Style

Gogou, Maria, Martha Spilioti, Despoina Tramma, Efimia Papadopoulou-Alataki, and Athanasios Evangeliou. "Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?." Sudanese Journal of Paediatrics 17.1 (2017), 57-60. Print.


APA (American Psychological Association) Style

Gogou, M., Spilioti, . M., Tramma, . D., Papadopoulou-Alataki, . E. & Evangeliou, . A. (2017) Spine pathology in a girl with upper limb pain: A co-incidence or a causal relationship?. Sudanese Journal of Paediatrics, 17 (1), 57-60.




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