Cervical myelopathy from calcium pyrophosphate dihydrate crystal deposition: a case report

被引：0
作者：
Andreas F. Mavrogenis
Panayiotis J. Papagelopoulos
Demetrios S. Korres
Spyridon Pneumaticos
机构：
[1] Athens University Medical School,Department of Orthopaedics
[2] Athens University Medical School,Department of Orthopaedics
来源：
European Journal of Orthopaedic Surgery & Traumatology | 2010年 / 20卷
关键词：
Calcium pyrophosphate dihydrate crystal deposition disease; Pseudogout; Cervical spine; Myelopathy;
D O I：
暂无
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学科分类号：
摘要：
Calcification of the ligamentum flavum secondary to calcium pyrophosphate dihydrate (CPPD) deposition may be a rare cause of cervical myelopathy. We present a 56-year-old man with spinal stenosis secondary to CPPD disease and subacute cervical myelopathy following minor trauma. The patient had no history of CPPD disease. Posterior C4-C6 decompression and instrumented fusion were performed. Intraoperative findings were densely thickened ligamentum flavum and distortion of the cervical dura mater due to impingement. Histological sections of discs and ligamentum flavum specimens showed CPPD crystals. Postoperatively, neck pain and paresthesias improved immediately. At 2 weeks after spinal surgery, the patient experienced acute right knee swelling. Standard radiographs showed chondrocalcinosis of the knee menisci.
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页码：483 / 487
页数：4
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共 47 条
  • [1] Assaker R(2001)Foramen magnum syndrome secondary to calcium pyrophosphate deposition in the transverse ligament of the atlas Spine 26 1396-1400
  • [2] Louis E(2001)Compressive cervical myelopathy due to massive periodontoid calcium pyrophosphate crystal deposition Reumatismo 53 312-315
  • [3] Boutry N(2003)Calcium pyrophosphate dihydrate crystal deposition disease in cervical radiculomyelopathy J Chin Med Assoc 66 256-259
  • [4] Bobbio-Pallavicini F(1978)Calcium pyrophosphate deposition in ligamentum flavum Arthritis Rheum 21 611-613
  • [5] Epis O(2004)The cervical spine in calcium pyrophosphate dihydrate deposition disease. A prevalent case-control study J Rheumatol 31 545-549
  • [6] Cavagna L(1999)Compressive cervical myelopathy due to calcium pyrophosphate dihydrate deposition disease: report of a case and review of the literature Arch Intern Med 159 189-193
  • [7] Caporali R(2000)Calcium pyrophosphate dihydrate crystal deposition in and around the atlantoaxial joint: association with type 2 odontoid fractures in nine patients Radiology 216 213-219
  • [8] Montecucco C(1979)Cervical radiculomyelopathy due to calcified ligamenta flava Ann Neurol 5 193-195
  • [9] Chen CF(1980)Cervical radiculomyelopathy caused by deposition of calcium pyrophosphate dihydrate crystals in the ligamenta flava. Case report J Neurosurg 52 279-283
  • [10] Chang MC(2002)Signaling mechanisms involved in crystal-induced tissue damage Curr Opin Rheumatol 14 292-297
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