caa a22 4500 463181115 CHVBK 20180406164839.0 cr unu---uuuuu 170326e20070201xx s 000 0 eng 10.1007/s00381-006-0215-3 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0215-3 Winged scapula as the presenting symptom of Chiari I malformation and syringomyelia [Elektronische Daten] [R. Tubbs, W. Oakes] Case report: We report a 19-year-old girl with a 4-month history of an inability to fully elevate her upper extremity past the horizontal position. Physical examination revealed a winged scapula. MRI was demonstrative of a Chiari I malformation with a small cervical syrinx eccentrically placed to the same side as the dysfunctional extremity. Discussion: We believe this to be the first report of dysfunction of the long thoracic nerve via a hindbrain hernia-induced syrinx with a resultant winged scapula. We would hypothesize that enough anterior horn motor neurons and their axons destined for the long thoracic nerve were injured by the syringomyelia to result in isolated deinnervation of the serratus anterior muscle. Conclusion: The clinician may wish to include syringomyelia in the differential diagnosis of a winged scapula. Springer-Verlag, 2006 Chiari I malformation nationallicence Syringomyelia nationallicence Long thoracic nerve nationallicence Tubbs R. Department of Cell Biology, University of Alabama at Birmingham, Birmingham, AL, USA aut Oakes W. Section of Pediatric Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA aut Child's Nervous System Springer-Verlag 23/2(2007-02-01), 255-257 0256-7040 23:2<255 2007 23 381 https://doi.org/10.1007/s00381-006-0215-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0215-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tubbs R. Department of Cell Biology, University of Alabama at Birmingham, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Oakes W. Section of Pediatric Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/2(2007-02-01), 255-257 0256-7040 23:2<255 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer