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Attacks of pain in the leg from classic syringomyelia
  1. J VAN GIJN,
  2. P C L M GIESBERGEN,
  3. T U HOOGENRAAD
  1. University Department of Neurology, Utrecht, The Netherlands
  1. Professor J van Gijn, University Department of Neurology, University Hospital, PO Box 85500, 3508 GA Utrecht, The Netherlands.

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Neurologists should not be surprised if the cause of a disorder is remote from its effect, such as a parasagittal meningioma causing foot dragging, or a sacral ependymoma leading to deafness as the first sign of siderosis of the nervous system. Yet we were for some time bewildered by the following problem.

T1 weighted MRI at the level of the D10-D11 intervertebral disc. Hypointense lesion in the left dorsolateral region of the lumbar cord, corresponding to the posterior horn.

A 67 year old woman consulted us in 1996 for attacks of pain in the left leg that had started in 1978 and had gradually increased in severity and frequency up to three to four attacks an …

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