KMID : 0191120120270121591
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Journal of Korean Medical Science 2012 Volume.27 No. 12 p.1591 ~ p.1594
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Cauda Equina Syndrome Caused by Pseudogout Involving the Lumbar Intervertebral Disc
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Lee Jung-Jun
Cho Keun-Tae Kim Eo-Jin
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Abstract
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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.
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KEYWORD
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Calcium Pyrophosphate Dehydrate (CPPD), Pseudogout, Lumbar Spine, Intervertebral Disc
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