1.Cauda Equina Syndrome Caused by Pseudogout Involving the Lumbar Intervertebral Disc.
Jungjun LEE ; Keun Tae CHO ; Eo Jin KIM
Journal of Korean Medical Science 2012;27(12):1591-1594
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.
Calcium Pyrophosphate/metabolism
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Chondrocalcinosis/etiology
;
Diskectomy
;
Humans
;
Intervertebral Disc/pathology/surgery
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Magnetic Resonance Imaging
;
Male
;
Middle Aged
;
Polyradiculopathy/*diagnosis/pathology/radiography
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Tomography, X-Ray Computed
2.Calcium pyrophosphate crystal deposition disease:report of two cases.
Zhi-ming JIANG ; Hui-zhen ZHANG
Chinese Journal of Pathology 2009;38(12):848-849
Calcium Pyrophosphate
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metabolism
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Cartilage, Articular
;
metabolism
;
pathology
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Chondrocalcinosis
;
diagnostic imaging
;
metabolism
;
pathology
;
surgery
;
Diagnosis, Differential
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Female
;
Gout
;
pathology
;
Humans
;
Knee Joint
;
diagnostic imaging
;
metabolism
;
pathology
;
Male
;
Menisci, Tibial
;
metabolism
;
pathology
;
Middle Aged
;
Osteoarthritis
;
etiology
;
pathology
;
Radiography