Compressive myelopathy due to dialysis-associated amyloidosis

Nephron. 1993;65(3):463-5. doi: 10.1159/000187531.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Amyloidosis / etiology*
  • Female
  • Humans
  • Kidney Failure, Chronic / therapy
  • Laminectomy
  • Paresis / etiology
  • Paresis / surgery
  • Radiography
  • Renal Dialysis / adverse effects*
  • Spinal Cord Compression / diagnostic imaging
  • Spinal Cord Compression / etiology*
  • Spinal Cord Compression / surgery