Abstract
Aim: To highlight unusual neurological findings in a patient with syringomyelia and COVID-19. Methods: Neurological examination, Vibration Perception Threshold (VPT), Magnetic Resonance Imaging (MRI) of the full neuroaxis, electrophysiologic studies, Corneal Confocal Microscopy (CCM) and Sudoscan were performed. Results: A previously fit and well 28-year-old lady presented with worsening shoulder and neck pain after COVID-19. She was found to have reduced pinprick sensation in both arms and base of the neck and MRI revealed a cervical syrinx. Electrophysiologic studies showed no evidence of upper limb neuropathy or cervical radiculopathy, but CCM showed corneal nerve loss and Sudoscan demonstrated severe sudomotor dysfunction in both hands. Conclusion: We present an unusual case of worsening pain with sudomotor dysfunction and corneal nerve fibre loss in a patient with syringomyelia and COVID-19 infection.
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