Delay in the Diagnosis of Osteomalacic Myopathy Secondary to Vitamin D Deficiency Due To Coexistent Thoracic Intradural Arachnoid Cyst: A Case Report

The patient with vitamin D deficiency may manifest with osteomalacic myopathy which has been reported in females with poor nutrition and inadequate sun exposure, especially in community with Purdah practice in India. Clinical features of osteomalacic myopathy are painful symmetric proximal muscle weakness, waddling gait and brisk tendon jerks. We report a case of osteomalacic myopathy in a 25 year-old female which was initially missed due to presence of thoracic intradural arachnoid cyst. Patient showed rapid improvement with Calcium and vitamin D supplemention.