Authors : Mabuto Michelle Tanaka; Praveena Sathisetti

Volume/Issue : Volume 11 - 2026, Issue 3 - March

Google Scholar : https://tinyurl.com/9u9x7zzb

Scribd : https://tinyurl.com/4wpxtfna

DOI : https://doi.org/10.38124/ijisrt/26mar1194

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Abstract : Syringomyelia is a progressive degenerative disorder characterized by formation of a fluid-filled cavity (syrinx) in the spinal cord, which leads to different neurological dysfunctions. The case describes a 54-year-old female agricultural labourer who presented with a history of chronic back pain and progressive neurological symptoms. Her symptoms began five years earlier following a fall while carrying heavy loads during work. Initially, she experienced persistent back pain and sought medical care, where analgesic medications were prescribed. Due to inadequate relief, she later pursued homeopathic treatment for 2 -3 years without improvement. She went to another hospital with complaints of reeling sensation for 15 days, chronic lower back pain for 1-year, bilateral lower limb pain associated with heaviness, difficulty rising from a sitting position, and occasional knuckle pain. Laboratory investigations revealed haemoglobin of 11 g/dL, MCV 77 FL, MCH 23.2 pg, MCHC 30.1 g/dL, and ESR 58 mm/hour. An MRI demonstrated herniation of bilateral cerebellar tonsils 7 mm below the foramen magnum and a focal syrinx at the C6–C7 level. Additionally, disc desiccation and diffuse annular bulges were noted at L3–L5 levels with thecal sac indentation and bilateral neural foraminal narrowing compressing exiting nerve roots. Based on the above findings, a diagnosis of syringomyelia was established. The patient was managed with gabapentin nortriptyline, methyl cobalamin, and calcium vitamin D3. This case highlights the importance of early diagnosis, patient education, and timely neuro-rehabilitation. A multidisciplinary approach plays a vital role in improving patient treatment outcomes.

Keywords : Syringomyelia, Magnetic Resonance Imaging (MRI), Neuro-Rehabilitation, Patient Counselling, Treatment Plan.

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