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Charcot arthropathy of the lumbosacral spine mimicking a vertebral tumor after spinal cord injury.

Son SB, Lee SH, Kim ES, Eoh W - J Korean Neurosurg Soc (2013)

Bottom Line: Charcot spinal arthropathy is a rare, progressive type of vertebral joint degeneration that occurs in the setting of any preexisting condition characterized by decreased afferent innervation to the extent that normal protective joint sensation in the vertebral column is impaired.The authors report on a case of Charcot arthropathy of the lower lumbar spine mimicking a spinal tumor following cervical cord injury.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ; School of Medicine, Kyung Hee University, Seoul, Korea.

ABSTRACT
Charcot spinal arthropathy is a rare, progressive type of vertebral joint degeneration that occurs in the setting of any preexisting condition characterized by decreased afferent innervation to the extent that normal protective joint sensation in the vertebral column is impaired. The authors report on a case of Charcot arthropathy of the lower lumbar spine mimicking a spinal tumor following cervical cord injury.

No MeSH data available.


Related in: MedlinePlus

A sagittal T2-weighted magnetic resonance image of the neck show traumatic destruction of spinal cord at C4-C6.
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Figure 1: A sagittal T2-weighted magnetic resonance image of the neck show traumatic destruction of spinal cord at C4-C6.

Mentions: A 38-year-old man was admitted to our department with a one-month history of back pain radiating from the right flank and abdomen that had recently worsened. He had developed quadriplegia after spinal cord injury at C5-6 (Fig. 1). For last twenty years previously, he had been in bed ridden state. He had also experienced intermittent back pain for 10 years. The patient presented at our institute to check a lumbosacral osteolytic mass found by computed tomography (CT) at another institute during an investigation of growing back pain. Clinical examination showed a complete, flaccid, and areflexic paralysis of both lower limbs, with no sensation below T2. The patient had limitations of motion with no significant contractures at the right hip, and no palpable masses, fluid collections, or appreciable lymphadenopathy. Laboratory analysis revealed no signs of a spinal infection.


Charcot arthropathy of the lumbosacral spine mimicking a vertebral tumor after spinal cord injury.

Son SB, Lee SH, Kim ES, Eoh W - J Korean Neurosurg Soc (2013)

A sagittal T2-weighted magnetic resonance image of the neck show traumatic destruction of spinal cord at C4-C6.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921287&req=5

Figure 1: A sagittal T2-weighted magnetic resonance image of the neck show traumatic destruction of spinal cord at C4-C6.
Mentions: A 38-year-old man was admitted to our department with a one-month history of back pain radiating from the right flank and abdomen that had recently worsened. He had developed quadriplegia after spinal cord injury at C5-6 (Fig. 1). For last twenty years previously, he had been in bed ridden state. He had also experienced intermittent back pain for 10 years. The patient presented at our institute to check a lumbosacral osteolytic mass found by computed tomography (CT) at another institute during an investigation of growing back pain. Clinical examination showed a complete, flaccid, and areflexic paralysis of both lower limbs, with no sensation below T2. The patient had limitations of motion with no significant contractures at the right hip, and no palpable masses, fluid collections, or appreciable lymphadenopathy. Laboratory analysis revealed no signs of a spinal infection.

Bottom Line: Charcot spinal arthropathy is a rare, progressive type of vertebral joint degeneration that occurs in the setting of any preexisting condition characterized by decreased afferent innervation to the extent that normal protective joint sensation in the vertebral column is impaired.The authors report on a case of Charcot arthropathy of the lower lumbar spine mimicking a spinal tumor following cervical cord injury.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ; School of Medicine, Kyung Hee University, Seoul, Korea.

ABSTRACT
Charcot spinal arthropathy is a rare, progressive type of vertebral joint degeneration that occurs in the setting of any preexisting condition characterized by decreased afferent innervation to the extent that normal protective joint sensation in the vertebral column is impaired. The authors report on a case of Charcot arthropathy of the lower lumbar spine mimicking a spinal tumor following cervical cord injury.

No MeSH data available.


Related in: MedlinePlus