Recurrent acute low back pain secondary to lumbar epidural calcification.

Détails

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Version: Final published version
Licence: Non spécifiée
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ID Serval
serval:BIB_6D310561E324
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Recurrent acute low back pain secondary to lumbar epidural calcification.
Périodique
Skeletal Radiology
Auteur⸱e⸱s
Ziadé M., Zufferey P., So A.K.
ISSN
0364-2348
Statut éditorial
Publié
Date de publication
2007
Peer-reviewed
Oui
Volume
36
Numéro
Suppl. 1
Pages
S116-S119
Langue
anglais
Notes
Case Reports Journal Article --- Old month value: Jun
Résumé
INTRODUCTION: Epidural calcification is a rare cause of back pain, and spontaneous epidural calcification has not been reported previously. CASE REPORT: We describe a patient with acute low back pain and signs of lumbar nerve root compression due to epidural calcification, as demonstrated by CT-scan and MRI. Radiological signs of spondylodiscitis led to a search for an infectious cause, which was negative, and her symptoms responded rapidly to NSAID treatment alone. Her symptoms recurred 18 months later, and further imaging studies again revealed epidural calcification, but with a changed distribution. Her symptoms were relieved once more by NSAID treatment alone. DISCUSSION: We propose that epidural calcification secondary to aseptic spondylodiscitis is the main cause of acute back pain in this patient. A possible mechanism may be the pro-inflammatory effects of calcium pyrophosphate or hydroxyapatite crystal deposition within the epidural space.
Mots-clé
Acute Disease, Aged, Anti-Inflammatory Agents, Non-Steroidal, Calcinosis, Diagnosis, Differential, Discitis, Female, Humans, Low Back Pain, Lumbar Vertebrae, Magnetic Resonance Imaging, Recurrence, Spinal Cord Compression, Tomography, X-Ray Computed
Pubmed
Open Access
Oui
Création de la notice
25/01/2008 8:38
Dernière modification de la notice
14/02/2022 7:55
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