Postmyelographic cauda equina syndrome in an asymptomatic acquired spinal stenosis of a young acromegalic.
Early postmyelographic cauda equina syndrome in an asymptomatic young acromegalic is presented. The patient was asymptomatic for more than 1 yr despite myelographic evidence of acquired spinal stenosis at the L2-L4 level. Radiographic and/or myelographic findings should be clinically correlated. It is postulated that, in acromegaly, the combined simultaneous bony apposition-remodeling resorption mechanism is involved in the spine as platyspondyly, hyperostosis of spinous processes and vertebral scalloping to counteract soft tissue hyperplasia within the spinal canal; entrapment myelopathy, cauda equina syndrome and/or radiculopathy are ascribed to a soft tissue edematous mechanism superimposed on congenital or degenerative spinal stenosis, traumatic or postoperative spondylolisthesis, postmyelographic and/or postoperative arachnoiditis and a traumatic swollen or protrused intervertebral disc.
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D000172:Acromegaly / Q000150:complications*; D000328:Adult; D002420:Cauda Equina / Q000000981:diagnostic imaging; D003287:Contrast Media / Q000009:adverse effects*; D006801:Humans; D007483:Iothalamic Acid / Q000009:adverse effects / Q000031:analogs & derivatives*; D008297:Male; D008536:Meglumine / Q000009:adverse effects*; D009192:Myelography / Q000009:adverse effects*; D009408:Nerve Compression Syndromes / Q000000981:diagnostic imaging / Q000209:etiology*; D013012:Sorbitol / Q000031:analogs & derivatives*; D013130:Spinal Stenosis / Q000150:complications* / Q000000981:diagnostic imaging
D003287:Contrast Media; D007483:Iothalamic Acid; C025504:iocarmate meglumine; D013012:Sorbitol; D008536:Meglumine