Compressive myelopathy due to dialysis-associated amyloidosis.
A 66-year-old woman presented a spastic quadriparesis due to compression of the cervical cord 6 years after the beginning of chronic hemodialysis. Five years later, she developed a second episode of compressive myelopathy affecting the lumbar spine. On both occasions, surgical laminectomy with removal of fibroligamentous rings that compressed the cord led to a total recovery of the patient. Histological study demonstrated the presence of massive amyloid deposits in the surgically excised material.
Sanchez
R
R
Nephrology Department, Hospital 12 de Octubre, Madrid, Spain.
Praga
M
M
Rivas Salas
J J
JJ
Araque
A
A
Mazuecos
A
A
Andres
A
A
Rodicio
J L
JL
D000368:Aged; D000686:Amyloidosis / Q000209:etiology*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D007796:Laminectomy; D010291:Paresis / Q000209:etiology / Q000601:surgery; D011859:Radiography; D006435:Renal Dialysis / Q000009:adverse effects*; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery