Nichols Noah Michael Linwood, Yerneni Ketan, Chiu Antoine B, Lu Alex Y, Tan Lee A
Department of Neurosurgery, UCSF Medical Center, San Francisco, CA, USA.
J Spine Surg. 2019 Dec;5(4):596-600. doi: 10.21037/jss.2019.09.23.
Lumbar spinal stenosis (LSS) is characterized by narrowing of the central canal, lateral recesses, or foramina leading to compression of neural tissue. The clinical syndrome associated with LSS is usually neurogenic claudication, which often presents as lower back and extremity pain, numbness, and tingling upon ambulation. Autonomic dysfunction is rarely observed in patients with LSS; however, a subset of male patients has been reported to experience intermittent priapism associated with the onset of neurogenic claudication symptoms. We present the case of a 33-year-old male who was diagnosed with LSS associated with neurogenic claudication and priapism who underwent minimally invasive decompressive surgery. Complete resolution of claudication and priapism was observed at the 6-week follow-up visit. This case report highlights minimally invasive lumbar decompression as an effective treatment for the rarely observed presentation of priapism associated with LSS.
腰椎管狭窄症（LSS）的特征是中央管、侧隐窝或椎间孔狭窄，导致神经组织受压。与LSS相关的临床综合征通常是神经源性间歇性跛行，常表现为行走时腰背部和下肢疼痛、麻木及刺痛。LSS患者很少观察到自主神经功能障碍；然而，据报道，一部分男性患者会出现与神经源性间歇性跛行症状发作相关的间歇性阴茎异常勃起。我们报告一例33岁男性患者，其被诊断为LSS合并神经源性间歇性跛行和阴茎异常勃起，该患者接受了微创减压手术。在6周的随访中，间歇性跛行和阴茎异常勃起完全缓解。本病例报告强调了微创腰椎减压术是治疗与LSS相关的罕见阴茎异常勃起表现的有效方法。
