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A 46 year-old woman presented with loss of ppin sensation in the trunk and urinary urgency and frequency.
(Left) Sagittal T2-weighted MRI scans of the thoracic spine; (Right) Axial T2-weighted image at the level of T3. Note the two central cystic cavities. The rostal one expands the spinal cord and has septae within it. A syrinx often first presents with bilateral upper extremity loss of pain and temperature sensation from early involvement of the crossing spinothalamic fibers. Syringomyelia is often associated with congenital malformations, intrinsic cord tumors, or may follow spinal trauma.
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