Cauda Equina Syndrome Caused by Pseudogout Involving the Lumbar Intervertebral Disc.
10.3346/jkms.2012.27.12.1591
- Author:
Jungjun LEE
1
;
Keun Tae CHO
;
Eo Jin KIM
Author Information
1. Department of Neurosurgery Dongguk University Ilsan Hospital, Goyang, Korea. ktcho21@naver.com
- Publication Type:Case Reports
- Keywords:
Calcium Pyrophosphate Dehydrate (CPPD);
Pseudogout;
Lumbar Spine;
Intervertebral Disc
- MeSH:
Calcium Pyrophosphate/metabolism;
Chondrocalcinosis/etiology;
Diskectomy;
Humans;
Intervertebral Disc/pathology/surgery;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Polyradiculopathy/*diagnosis/pathology/radiography;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2012;27(12):1591-1594
- CountryRepublic of Korea
- Language:English
-
Abstract:
Calcium pyrophosphate dihydrate (CPPD) deposition disease, also known as pseudogout, is a disease that causes inflammatory arthropathy in peripheral joints, however, symptomatic involvement of the intervertebral disc is uncommon. Herein, we describe a 59-yr-old patient who presented with cauda equina syndrome. Magnetic resonance imaging of the patient showed an epidural mass-like lesion at the disc space of L4-L5, which was compressing the thecal sac. Biopsy of the intervertebral disc and epidural mass-like lesion was determined to be CPPD deposits. We reviewed previously reported cases of pseudogout involving the lumbar intervertebral disc and discuss the pathogenesis and treatment of the disease.
