Interesting case Neuro 22

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Interesting case Neuro 22

A patient presents with upper limb weakness and headache - what's the diagnosis?

 

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Topics: Neuro, Head and Neck

Key findings - Asymmetric cerebellar tonsillar ectopia is noted, the left cerebellar tonsil exerting mass effect on the upper cord and suggestive of a Chiari 1-type malformation. The superior extent of a syrinx can be viewed at the upper cord on coronal images

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