Document Detail


Cervical cord compression in an elderly patient with Hurler's syndrome: a case report.
MedLine Citation:
PMID:  12923485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A case of cervical cord compression in an elderly lady with Hurler's syndrome is reported. OBJECTIVE: To report the occurrence of cervical cord compression in a 56-year-old patient of Hurler's syndrome, making her the oldest patient with Hurler's. The case report also highlights the appropriate management that could be given to this group of difficult patients. SUMMARY OF BACKGROUND DATA: The literature on Hurler's syndrome is reviewed in terms of long-term survival and surgical management of spinal compression. No report in the literature describes cervical spine decompression in Hurler's syndrome in a patient this old. METHOD: Clinical and radiologic features of Hurler's induced cervical cord compression are described. Pathologic changes of Hurler's myleopathy are also reported. RESULTS: The patient underwent cervical spine decompression and tolerated the procedure well. The patient was able to mobilize free of the wheel chair and showed significant neurologic recovery. CONCLUSION: The case report highlights the success of surgery in Hurler's induced cervical cord compression. It also adds to the literature the oldest patient of Hurler's syndrome to undergo any form of spinal surgery.We present here a 59-year-old lady with Hurler's syndrome, who underwent a successful cervical spine decompression and stabilization for cervical myelopathy. At 59 years of age, she was the oldest case of Hurler's to undergo spinal surgery. The case highlights the importance of undertaking major spinal surgeries in these difficult inherited disorders with reasonable success, as against common belief.
Authors:
Shah Alam Khan; Khosro Sehat; Denis Calthorpe
Related Documents :
6575545 - Blastomycosis in a papanicolaou smear. report of a case with possible venereal transmis...
9824035 - Aspiration pneumonia secondary to giant cervical osteophyte formation (diffuse idiopath...
7418305 - Hemangiopericytoma of the cervical spine: report of an unusual case.
10204445 - Early relief of erectile dysfunction after laser decompression of herniated lumbar disc.
6816155 - Blunt transection of the pancrease treated by distal pancreatectomy, splenic salvage an...
2477575 - Schizophrenic neologism versus aphasic neologism: characteristics in writings of japane...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  28     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-08-18     Completed Date:  2004-04-01     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E313-5     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Derbyshire Royal Infirmary, Derby, United Kingdom. shahalamkhan@Lycos.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cervical Vertebrae / pathology*,  surgery
Decompression, Surgical
Female
Humans
Middle Aged
Mucopolysaccharidoses / complications*
Spinal Cord Compression / etiology*,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Looking back on back pain: trial and error of diagnoses in the 20th century.
Next Document:  Case report: intraoperative left common iliac occlusion in a scheduled 360-degree spinal fusion.