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  4. Post-traumatic cauda equina nerve calcification: A case report

Post-traumatic cauda equina nerve calcification: A case report

World Journal of Clinical Cases, 2023 · DOI: 10.12998/wjcc.v11.i6.1356 · Published: February 26, 2023

Spinal Cord InjuryNeurologyResearch Methodology & Design

Simple Explanation

This case report describes an extremely rare condition where calcium deposits form on the nerves of the cauda equina (the bundle of nerves at the base of the spinal cord) following a traumatic injury. The patient, a 52-year-old female, had a history of lumbar spinal stenosis and a lumbar vertebral fracture caused by trauma, which led to weakness and sensory loss in her right lower limb. Computed tomography (CT) scans revealed calcification of the cauda equina nerve. The patient was treated with a combination of traditional Chinese and Western medicine, including medication to reduce swelling and pain, as well as physical therapy to improve blood circulation. The patient's symptoms were slightly relieved after treatment.

Study Duration
Not specified
Participants
A 52-year-old patient
Evidence Level
Level 4, Case Report

Key Findings

  • 1
    The patient presented with weakness in hip flexion, knee extension, and plantarflexion in the right lower limb, with muscle strength grade 3.
  • 2
    CT scans revealed signs of cauda equina nerve calcification and terminal filaments in the plane of the third to fifth lumbar vertebrae.
  • 3
    After treatment, the patient's limb muscle strength changed to grade II, and limb sensation appeared, indicating slight improvement.

Research Summary

This case report presents a rare instance of post-traumatic cauda equina nerve calcification in a 52-year-old patient with a history of lumbar spinal stenosis and vertebral fracture. The patient exhibited symptoms including lower limb weakness and sensory loss, with imaging revealing calcification of the cauda equina nerve. A combination of traditional Chinese and Western medicine, along with physical therapy, led to slight symptom relief, highlighting the challenges and potential approaches in managing this rare condition.

Practical Implications

Diagnostic Awareness

Raises awareness of post-traumatic cauda equina nerve calcification as a rare but possible complication of spinal trauma.

Treatment Strategies

Suggests conservative treatment options involving both traditional and western medicine, although the optimal approach remains unclear.

Further Research

Emphasizes the need for further research into the etiology, mechanism, and treatment of post-traumatic cauda equina nerve calcification.

Study Limitations

  • 1
    Single case report limits generalizability
  • 2
    Etiology and mechanism of calcification remain unclear
  • 3
    Long-term prognosis not established

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