Pycnodysostosis with Multi-Segmental Spinal Canal Stenosis due to Ossification of the Yellow Ligament
Asian Spine Journal
;
: 286-289, 2015.
Article
in English
| WPRIM
| ID: wpr-152413
ABSTRACT
Pycnodysostosis is an autosomal recessive disorder characterized by osteosclerosis, small stature, acro-osteolysis of the distal phalanges, loss of the mandibular angle, separated cranial sutures with open fontanels, and frequent fractures. One identified cause of the disease is reduced activity of the cysteine protease cathepsin K. A 48-year-old woman with a history of frequent fractures presented with a severe gait disturbance. Radiography, computed tomography, magnetic resonance imaging, and gene analysis were performed. Physical examination revealed open fontanels, and radiographs showed increased bone density. DNA sequence analysis revealed a deletion mutation of the cathepsin K gene. We diagnosed pycnodysostosis based on these findings. The magnetic resonance and computed tomography images demonstrated multilevel spinal canal stenosis due to ossification of the yellow ligament. We performed a laminectomy, and the patient's neurological signs and symptoms improved. To our knowledge, this is the first case of pycnodysostosis with ossification of the yellow ligament.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteosclerosis
/
Physical Examination
/
Spinal Canal
/
Magnetic Resonance Imaging
/
Radiography
/
Bone Density
/
Sequence Deletion
/
Sequence Analysis, DNA
/
Constriction, Pathologic
/
Cranial Sutures
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Asian Spine Journal
Year:
2015
Type:
Article
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