Unmasking the Mystery of A Hidden Syrinx: Case Report of Progressive Paralysis in A 20-Year-Old Male with Intact Pain and Temperature Sensations

Syringomyelia is a progressive neurological disorder in which fluid-filled cyst known as syrinx forms within the spinal cord. The case of 20-year adult presented with lower limb stiffness and difficulty walking for last 3 years. For 1 year, he also developed upper limbs. Upon examination, had spastic gait no ataxia. There was muscle wasting both limbs, fasciculation. Tone increased reduced power hyperreflexia bilaterally all four limbs positive ankle clonus upgoing plantars bilaterally. Sensory system, cerebellum higher motor functions were intact. MRI scan revealed an abnormal intramedullary multifocal T2WI hyper intense signal cervical thoracic cord consistent diagnosed Syringomyelia. This uncommon presentation presenting predominantly neuron lesion without sensory involvement