RT Journal Article
SR Electronic
T1 Cervical myeloradiculopathy as an initial presentation of pseudogout
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 93
OP 96
DO 10.17712/nsj.2021.1.20200122
VO 26
IS 1
A1 Liao, Jen-Hsien
A1 Huang, Kuo-Chang
A1 Hsieh, Cheng-Ta
A1 Sun, Jui-Ming
YR 2021
UL http://nsj.org.sa/content/26/1/93.abstract
AB Pseudogout, also known as calcium pyrophosphate deposition disease, is an inflammatory arthropathy that primarily occurs in the peripheral joints, such as the knee or elbow. Spinal pseudogout is uncommon, and neck pain is its most common clinical manifestation. However, cervical myeloradiculopathy as an initial presentation of pseudogout attack of the ligamentum flavum has rarely been reported in the literature. We report a case of a 65-year-old woman who presented with neck pain, bilateral finger numbness, and left-sided upper extremity weakness. Magnetic resonance images showed an epidural mass at the C4–5 level, compressing the spinal cord. Following laminectomy with removal of the calcified mass, the profound neurologic deficits gradually recovered. A pathological examination confirmed the diagnosis of cervical pseudogout.