Recurrent acute low back pain secondary to lumbar epidural calcification
Epidural calcification is a rare cause of back pain, and spontaneous epidural calcification has not been reported previously. 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 sign...
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| Veröffentlicht in: | Skeletal radiology 2007-06, Vol.36 (S1), p.S116-119 |
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| creator | ZIADE, M ZUFFEREY, P SO, A. K.-L |
| description | Epidural calcification is a rare cause of back pain, and spontaneous epidural calcification has not been reported previously.
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.
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. |
| doi_str_mv | 10.1007/s00256-006-0147-8 |
| format | Article |
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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.
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.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-006-0147-8</identifier><identifier>PMID: 16715241</identifier><identifier>CODEN: SKRADI</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Acute Disease ; Aged ; Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; Biological and medical sciences ; Calcinosis - complications ; Calcinosis - diagnosis ; Diagnosis, Differential ; Discitis - complications ; Discitis - diagnosis ; Discitis - drug therapy ; Diseases of the osteoarticular system ; Diseases of the spine ; Female ; Humans ; Low Back Pain - drug therapy ; Low Back Pain - etiology ; Lumbar Vertebrae - pathology ; Magnetic Resonance Imaging ; Medical sciences ; Metabolic diseases ; Miscellaneous ; Other metabolic disorders ; Recurrence ; Spinal Cord Compression - diagnosis ; Spinal Cord Compression - etiology ; Tomography, X-Ray Computed</subject><ispartof>Skeletal radiology, 2007-06, Vol.36 (S1), p.S116-119</ispartof><rights>2007 INIST-CNRS</rights><rights>ISS 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c328t-6c84b47f824420c7860c65ad01bf07519cbb85e749f8476c4a1c2004b5d704803</citedby><cites>FETCH-LOGICAL-c328t-6c84b47f824420c7860c65ad01bf07519cbb85e749f8476c4a1c2004b5d704803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18767933$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16715241$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ZIADE, M</creatorcontrib><creatorcontrib>ZUFFEREY, P</creatorcontrib><creatorcontrib>SO, A. K.-L</creatorcontrib><title>Recurrent acute low back pain secondary to lumbar epidural calcification</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><description>Epidural calcification is a rare cause of back pain, and spontaneous epidural calcification has not been reported previously.
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.
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.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Calcinosis - complications</subject><subject>Calcinosis - diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Discitis - complications</subject><subject>Discitis - diagnosis</subject><subject>Discitis - drug therapy</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Female</subject><subject>Humans</subject><subject>Low Back Pain - drug therapy</subject><subject>Low Back Pain - etiology</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Miscellaneous</subject><subject>Other metabolic disorders</subject><subject>Recurrence</subject><subject>Spinal Cord Compression - diagnosis</subject><subject>Spinal Cord Compression - etiology</subject><subject>Tomography, X-Ray Computed</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU2LFDEQhoMo7uzHD_AiQXA9tVaSSipzXBZ1hYUF0XNIV6eh157uMelm8d-bYQYWPHgo6vLUC_W8QrxR8FEB0KcCoK1rAOoopMa_EBuFRjdaOfVSbMA4bLRBfybOS3kEUETWvRZnypGyGtVG3H1PvOacpkVGXpckx_lJtpF_yX0cJlkSz1MX8x-5zHJcd23MMu2Hbs1xlBxHHvqB4zLM06V41cexpKvTvhA_v3z-cXvX3D98_XZ7c9-w0X5pHHtskXqvETUweQfsbOxAtT2QVVtuW28T4bb3SI4xKtYA2NqOAD2YC_HhmLvP8-81lSXshsJpHOOU5rUEsmgdAVElr_9PAlJVdwDf_QM-zmue6hfBKVQGYesrpI4Q57mUnPqwz8OumgkKwqGNcGwj1MhwaCMcbt6egtd2l7rni5P-Crw_AbFUm32OEw_lmfPkaGuM-QumqY_E</recordid><startdate>200706</startdate><enddate>200706</enddate><creator>ZIADE, M</creator><creator>ZUFFEREY, P</creator><creator>SO, A. 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K.-L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-6c84b47f824420c7860c65ad01bf07519cbb85e749f8476c4a1c2004b5d704803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Calcinosis - complications</topic><topic>Calcinosis - diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Discitis - complications</topic><topic>Discitis - diagnosis</topic><topic>Discitis - drug therapy</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the spine</topic><topic>Female</topic><topic>Humans</topic><topic>Low Back Pain - drug therapy</topic><topic>Low Back Pain - etiology</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Miscellaneous</topic><topic>Other metabolic disorders</topic><topic>Recurrence</topic><topic>Spinal Cord Compression - diagnosis</topic><topic>Spinal Cord Compression - etiology</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ZIADE, M</creatorcontrib><creatorcontrib>ZUFFEREY, P</creatorcontrib><creatorcontrib>SO, A. 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K.-L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrent acute low back pain secondary to lumbar epidural calcification</atitle><jtitle>Skeletal radiology</jtitle><addtitle>Skeletal Radiol</addtitle><date>2007-06</date><risdate>2007</risdate><volume>36</volume><issue>S1</issue><spage>S116</spage><epage>119</epage><pages>S116-119</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><coden>SKRADI</coden><abstract>Epidural calcification is a rare cause of back pain, and spontaneous epidural calcification has not been reported previously.
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.
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.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>16715241</pmid><doi>10.1007/s00256-006-0147-8</doi><tpages>4</tpages></addata></record> |
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| subjects | Acute Disease Aged Anti-Inflammatory Agents, Non-Steroidal - therapeutic use Biological and medical sciences Calcinosis - complications Calcinosis - diagnosis Diagnosis, Differential Discitis - complications Discitis - diagnosis Discitis - drug therapy Diseases of the osteoarticular system Diseases of the spine Female Humans Low Back Pain - drug therapy Low Back Pain - etiology Lumbar Vertebrae - pathology Magnetic Resonance Imaging Medical sciences Metabolic diseases Miscellaneous Other metabolic disorders Recurrence Spinal Cord Compression - diagnosis Spinal Cord Compression - etiology Tomography, X-Ray Computed |
| title | Recurrent acute low back pain secondary to lumbar epidural calcification |
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