Charcot arthropathy of the spine with resulting paraparesis developing during pregnancy in a patient with congenital insensitivity to pain. A case report.
This is a report of a 17-year-old female with congenital insensitivity to pain who was noted to develop significant truncal asymmetry during pregnancy. A dense paraparesis developed 10 days after delivery. Charcot arthropathy of the spine had resulted in severe destructive changes of both L3 and L4 with significant canal compromise. The patient made a complete neurologic recovery after anterior decompression and stabilization of the spine.
Heggeness
M H
MH
Baylor College of Medicine, Department of Orthopedic Surgery, Center for Spinal Disorders, Houston, Texas.
D000293:Adolescent; D001177:Arthropathy, Neurogenic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D008161:Lumbosacral Region; D008279:Magnetic Resonance Imaging; D009984:Orthopedic Fixation Devices; D000699:Pain Insensitivity, Congenital / Q000150:complications*; D010264:Paraplegia / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications; D011859:Radiography; D013122:Spinal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013131:Spine / Q000000981:diagnostic imaging / Q000473:pathology