A case of “main en succulente” in high cervical myelopathy
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“Main en succulente” was first described by Marinesco to refer to the swollen hand seen in syringomyelia.It was thought to be due to trophic changes in the hand and is postulated to be due to the involvement of the central autonomic pathways. The mechanism underlying the manifestation of “main en succulente,” in our case with high cervical cord compression is not clear. A plausible explanation in our case may be affection of the central part of the spinal cord at C8-T1 level implicating the crossing pain fibers and the central autonomic pathways.

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