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KMID : 0191120120270121591
Journal of Korean Medical Science
2012 Volume.27 No. 12 p.1591 ~ p.1594
Cauda Equina Syndrome Caused by Pseudogout Involving the Lumbar Intervertebral Disc
Lee Jung-Jun

Cho Keun-Tae
Kim Eo-Jin
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.
KEYWORD
Calcium Pyrophosphate Dehydrate (CPPD), Pseudogout, Lumbar Spine, Intervertebral Disc
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