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June 1983

Syringobulbia Without Syringomyelia

Author Affiliations

Veterans Administration Medical Center (127) East Orange, NJ 07019

Arch Neurol. 1983;40(6):394. doi:10.1001/archneur.1983.04050060094032

To the Editor.  —It has been reported that syringobulbia rarely, if ever, occurs in the absence of syringomyelia.1,2 Using high-resolution computed tomographic (CT) scans, we recently examined a man with a gradually progressive spastic quadriparesis and segmental bulbar signs who we believe had this rarely reported condition.

Report of a Case.  —A 59-year-old man had had gradually progressive spastic quadriparesis for 20 years and urinary incontinence for 15 years. There was no personal or family history of headache, neck pain, optic neuritis, diplopia, dysphagia, or dysarthria. On examination, he was alert and oriented, with normal higher intellectual functions. Funduscopic findings and visual fields were normal. The right pupil was 5 mm in diameter, the left pupil was 4 mm in diameter, and both were briskly reactive to light. There was no ptosis. The extraocular movements were normal, as was facial sensation. The right nasolabial fold was very slightly