Chiari I malformation with syringomyelia
Upper limb weakness with tingling and numbness. Normal mental development.
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Herniation of cerebellar tonsil is seen, with a large cervicodorsal syrinx extending from C1 to D7-D8 level.
This is a classical presentation of syringomyelia. Case was followed up later after a year (images not included), and lesion was stable. Chiari I malformation is a finding which may be concurrent or associated.