Calcium Pyrophosphate Dihydrate Crystal Deposition Disease in the Cervical Ligamentum Flavum: A Case Report.
10.4184/jkss.2007.14.2.96
- Author:
Jae Chul LEE
1
;
Seok Ha HWANG
;
Yon Il KIM
;
Byung Joon SHIN
Author Information
1. Department of Orthopedic Surgery, Spine Center, Soonchunhyang University College of Medicine, Seoul, Korea. schsbj@hosp.sch.ac.kr
- Publication Type:Case Report
- Keywords:
Calcium pyrophosphate dihydrate crystal deposition disease;
Ligamentum flavum;
Cervical spine
- MeSH:
Aged;
Calcium Pyrophosphate*;
Calcium*;
Chondrocalcinosis;
Female;
Foot;
Humans;
Hypesthesia;
Laminectomy;
Ligamentum Flavum*;
Neck Pain;
Sensation;
Spinal Cord;
Spine
- From:Journal of Korean Society of Spine Surgery
2007;14(2):96-100
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Calcium pyrophosphate dihydrate deposition disease (CPPD) is an inflammatory arthropathy that is defined by the deposition of CPPD crystals in articular and periarticular structures. The cervical ligamentum flavum is a rare location of CPPD deposition. A 65-year-old woman was admitted with complaints of neck pain and a tingling sensation and numbness below the xiphoid process for 2 months. Magnetic resonance (MR) imaging and computed tomography (CT) revealed compression of the spinal cord due to a nodular calcified mass in or attached to the ligamentum flavum at the C4-5, C5-6, or C6-7 level. The patient underwent a laminectomy at C4-5, C5-6, and C6-7, and resectioning of calcified extradural nodules that impinged on the cervical cord. The operation resulted in a resolution of neck pain and hypoesthesia, except in the feet. Histopathological examination of the excised specimen revealed rectangular CPPD crystals. Here, we report a case of compressive cervical spine due to CPPD deposition disease of the cervical spine and describe the literature relevant to CPPD deposition disease of the cervical spine.
