Cauda equina compression revealing brown tumor of the spine in a long-term hemodialysis patient
| Autor: | Abdelkabir Anabi, M. Benghanem, Faissal Tarrass, Benyounes Ramdani, Meryem Benjelloun, Driss Zaid, Amal Ayad |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Cauda Equina End stage renal disease Subtotal Parathyroidectomy Lesion Rheumatology Renal Dialysis medicine Humans Renal osteodystrophy Chronic Kidney Disease-Mineral and Bone Disorder Hyperparathyroidism business.industry Nerve Compression Syndromes Cauda equina Decompression Surgical medicine.disease Surgery Nerve compression syndrome Brown tumor medicine.anatomical_structure Kidney Failure Chronic Hyperparathyroidism Secondary medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Joint Bone Spine. 73:748-750 |
| ISSN: | 1297-319X |
| Popis: | Brown tumors, or osteoclastomas, are erosive bony lesions arising as a complication of hyperparathyroidism (HPT). In patients with end-stage renal disease (ESRD), brown tumors are classic skeletal manifestations usually seen in severe forms of secondary HPT. However, involvement of the spine is considered extremely rare. We report a long-term hemodialysis case, in which cauda equina compression developed due to a sacral brown tumor. A decompressive surgery and subtotal parathyroidectomy were indicated to preserve neurologic function, and to ensure remineralization of the lesion. This case illustrates that, though rare, brown tumors should be considered in uremic patients with neurological symptoms. Emergent decompressive surgery is required to remove pressure on neurological structures and to stabilize the spine. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect