Spinal Stenosis Presenting with Scrotal and Perianal Claudication
Asian Spine Journal
;
: 103-105, 2015.
Article
in English
| WPRIM
| ID: wpr-185073
ABSTRACT
A 63-year-old gentleman presented with a one-year duration of progressive neurogenic claudication. However, unlike most patients who presents with leg symptoms, his pain was felt in his scrotal and perianal region. This was exacerbated with walking and standing, but he had immediate relief with sitting. An magnetic resonance imaging (MRI) was performed which showed severe central canal stenosis. An L3/4 and L4/5 surgical decompression and a transforaminal lumbar interbody fusion was performed, and the patient made good recovery with immediate resolution of symptoms. Although rare, spinal stenosis should be considered a differential when approaching a patient with perianal and scrotal claudication, even in the absence of leg claudication. An MRI is useful to confirm the diagnosis. This rare symptom may be a sign of severe cauda equina compression and we recommend decompression with predictable good results.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spinal Stenosis
/
Magnetic Resonance Imaging
/
Cauda Equina
/
Walking
/
Constriction, Pathologic
/
Decompression, Surgical
/
Decompression
/
Diagnosis
/
Leg
Type of study:
Diagnostic study
Limits:
Humans
Language:
English
Journal:
Asian Spine Journal
Year:
2015
Type:
Article
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