[Cervical myelopathy induced by calcium pyrophosphate tophus in primary chondrocalcinosis].
A 78 year old female patient with cervical myelopathy induced by a calcium pyrophosphate dihydrate tophus around the dens axis with clinical signs of a cervical tumor is presented. After operation of the tumor, the diagnosis of a generalized CPPD disease was established retrospectively, where by patient had complained of joint pain already for many years. This known complication of a primary chondrocalcinosis should be a reason for a careful investigation of the cervical spine in CPPD disease, because neurological disturbances might increase the joint destruction in the manner of "Charcot joints".
Zentrum für Innere Medizin der Justus-Liebig-Universität Giessen, Kerckhoff-Klinik, Ludwigstr. 37-39, 61231 Bad Nauheim, Germany.
K L
KL
Schmidt
J
J
Kraus
C
C
Schäfer
A
A
Wirbatz
M
M
Kaps
D-K
DK
Böker
W
W
Schachenmayr
H
H
Traupe
D000368:Aged; D002805:Chondrocalcinosis / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006227:Hand Deformities, Acquired / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D009809:Odontoid Process / Q000473:pathology*; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed