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.
Subject(s)
Humans , Male , Middle Aged , Calcium Pyrophosphate/metabolism , Chondrocalcinosis/etiology , Diskectomy , Intervertebral Disc/pathology , Magnetic Resonance Imaging , Polyradiculopathy/diagnosis , Tomography, X-Ray ComputedABSTRACT
Tuberculosis affecting the bone and spine has been a common problem in the developing countries for quite some time. Though the incidence has decreased dramatically, it still continues to be an important differential diagnosis in certain clinical situations. We hereby describe a patient who presented with features of cauda equine syndrome; the diagnosis was ultimately tuberculosis primarily involving the sacroiliac joint extending through the neural foramen and causing extradural compression
Subject(s)
Humans , Male , Polyradiculopathy/etiology , Sacrum/pathology , Ilium/pathology , Polyradiculopathy/diagnosisABSTRACT
Cauda equina syndrome is secondary to lumbo sacral nerve roots compression, it is a rare complication of a lumbar disc herniation. Earlier surgical treatment has to be performed for a best improvement. We report 24 cases of cauda equina syndrome secondary to a disc herniation. 58% of our patients were males and the mean age was 47.7 years. Clinical examination found genito sphincteriens disturbances [80%], strenght deficits [62.5%], and sensitif troubles [84%]. CT scan and MRI confirmed the cauda equina compression by a disc herniation, wich were more frequent at L4L5 level [83%]. Surgical treatment was performed in all our cases: laminectomy and discectomy. Clinical out come was satisfactory in 83.5% of cases