Table 1

Presentation of syringomyelia

CLASSICALMODERN
Dissociated sensory lossSpinal pain
Cuts and burns on handsSomatic pains/sensory disturbances
Small muscle wasting/clawed handsAtaxia/subjective disequilibrium
Lower limb hyper-reflexia/spasticityMuscle weakness/fatigability
Abnormalities of sweatingHindbrain symptoms (box 2)
Charcot’s jointsSpinal injury symptoms (box 3)
Scoliosis
Horner’s syndrome