Cervical spine pseudogout with myelopathy and Charcot joints.
Myelopathy due to calcium pyrophosphate dihydrate (CPPD) crystals in the cervical spine is rare. Neuropathic-like joints are also uncommon manifestations of CPPD crystal disease. We describe a 79-year-old woman with multiple neuropathic joints containing CPPD crystals. She also had a large mass containing CPPD crystals impinging on the cervical spinal cord, causing a myelopathy. She appears to be the first patient with this combination of unusual clinical features with CPPD disease.
Fidler
W K
WK
Department of Medicine, Queen's University, Kingston, Canada.
Dewar
C L
CL
Fenton
P V
PV
D000368:Aged; D001177:Arthropathy, Neurogenic / Q000150:complications* / Q000000981:diagnostic imaging / Q000378:metabolism; D002131:Calcium Pyrophosphate / Q000032:analysis; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging; D002805:Chondrocalcinosis / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007717:Knee / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D012782:Shoulder / Q000000981:diagnostic imaging; D013118:Spinal Cord Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014953:Wrist / Q000000981:diagnostic imaging
D002131:Calcium Pyrophosphate