Intraspinal calcinosis mimicking intervertebral disc extrusion: A clinical and surgical case report (CROSBI ID 254526)
Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija
Podaci o odgovornosti
Maraković, Jurica ; Marinović, Tonko ; Jeleč Vjekoslav ; Dlaka, Domagoj ; Muller, Danko ; Blažević, Andrea ; Raguž, Marina
engleski
Intraspinal calcinosis mimicking intervertebral disc extrusion: A clinical and surgical case report
BACKGROUND: Subcutaneous calcinosis is a well-recognized manifestation of systemic sclerosis that usually involves multiple pressure points and may also be found in the paraspinal or intraspinal regions. In this case, intraspinal calcinosis uniquely led to a severe neurological deficit. CASE DESCRIPTION: A patient with severe systemic sclerosis/calcinosis exhibited left greater than right lower extremity radiculopathy attributed to intraspinal left-sided L4-L5 calcinosis. On examination, the patient exhibited bilateral positive Lasegue signs, distal lower extremity weakness (left greater than right), and bilaterally decreased Achilles responses. When the magnetic resonance imaging (MRI) revealed a significant intracanalicular mass on the left side at the L4-L5 level, the patient underwent a left-sided L4-L5 decompressive laminectomy. The MRI scan 5 years later revealed no recurrence of the calcinosis, and the patient had no residual neurological deficit. CONCLUSIONS: Spinal calcinosis rarely involves the lumbar spinal canal. Here, a patient with a large left-sided L4-L5 focus of intraspinal calcinosis, mimicking a disc herniation, required a laminectomy to resect the lesion. Lumbar calcinosis should be radiologically evaluated utilizing using X-ray, MRI, and computed tomography studies to adequately document the pathology. Patients, when symptomatic, may require surgical decompression and excision of these lesions.
CREST syndrome ; spinal calcinosis ; surgical treatment ; systemic sclerosis
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Podaci o izdanju
9
2018.
166
3
objavljeno
2229-5097
2152-7806
10.4103/sni.sni_147_18