title: Cervical cord compression in an elderly patient with Hurler's syndrome: a case report.
abstract: METHODS
  A case of cervical cord compression in an elderly lady with Hurler's syndrome is reported.
  
  
  OBJECTIVE
  To report the occurrence of cervical cord compression in a 56-year-old patient of Hurler's syndrome, making her the oldest patient with Hurler's. The case report also highlights the appropriate management that could be given to this group of difficult patients.
  
  
  BACKGROUND
  The literature on Hurler's syndrome is reviewed in terms of long-term survival and surgical management of spinal compression. No report in the literature describes cervical spine decompression in Hurler's syndrome in a patient this old.
  
  
  METHODS
  Clinical and radiologic features of Hurler's induced cervical cord compression are described. Pathologic changes of Hurler's myleopathy are also reported.
  
  
  RESULTS
  The patient underwent cervical spine decompression and tolerated the procedure well. The patient was able to mobilize free of the wheel chair and showed significant neurologic recovery.
  
  
  CONCLUSIONS
  The case report highlights the success of surgery in Hurler's induced cervical cord compression. It also adds to the literature the oldest patient of Hurler's syndrome to undergo any form of spinal surgery.We present here a 59-year-old lady with Hurler's syndrome, who underwent a successful cervical spine decompression and stabilization for cervical myelopathy. At 59 years of age, she was the oldest case of Hurler's to undergo spinal surgery. The case highlights the importance of undertaking major spinal surgeries in these difficult inherited disorders with reasonable success, as against common belief.
authors.affiliation: Department of Orthopaedic Surgery, Derbyshire Royal Infirmary, Derby, United Kingdom. shahalamkhan@Lycos.com
authors.forename: Shah Alam
authors.initials: SA
authors.lastname: Khan
authors.forename: Khosro
authors.initials: K
authors.lastname: Sehat
authors.forename: Denis
authors.initials: D
authors.lastname: Calthorpe
mesh_terms: D002574:Cervical Vertebrae / Q000473:pathology* / Q000601:surgery; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D008875:Middle Aged; D009083:Mucopolysaccharidoses / Q000150:complications*; D013117:Spinal Cord Compression / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome