作者: J-R Vignes , S Eimer , R Dupuy , E Donois , D Liguoro
关键词: Intervertebral disk 、 Myelopathy 、 Amyloidosis 、 Spinal cord 、 Neurosurgery 、 Laminectomy 、 Spinal cord compression 、 Central nervous system disease 、 Surgery 、 Medicine
摘要: A case report of cervical myelopathy caused by epidural β2-microglobulin (β2m) amyloid deposits in a 50-year-old woman with haemodialysis treatment. Long-term patients end-stage renal disease leads to several complications based on β2m deposits, which can affect, the spine, intervertebral disk, and rare cases, they may compress spinal cord nerves. The objective this is describe clinical radiological follow-up preceding indispensable surgical excision an mass postoperative cervicalgia owing subcondylian bone cyst-associated atlanto-occipital instability also described discussed. Department Neurosurgery A, Hop Pellegrin, Bordeaux, France. We present patient compression. was treated subsequent C2–C3 laminectomy. experienced improvement regression all her neurological symptoms. Histological findings confirm diagnosis deposition. However, 5 years after surgery cysts were still observed required wear minerva. Our confirms that necessary relevant when prognosis discussed, pain major symptom evolution. use high-flux synthetic membranes could decrease blood level early graft only method prevent such complications.