The Centre for Spinal Studies and Surgery, Queen's Medical Centre, Nottingham University Hospital NHS Trust, Nottingham, United Kingdom.
Department of Histopathology, Nottingham University Hospital NHS Trust, Nottingham, United Kingdom.
JBJS Case Connect. 2022 Jun 2;12(2). doi: e22.00121. eCollection 2022 Apr 1.
"Baastrup's disease" is a relatively common anatomical condition, controversially recognized as a possible cause of back pain but frequently missed by clinicians of different specialties. We present a rare case of Baastrup's disease causing compression to the cauda equina nerves due to the formation of a large pseudotumoral epidural mass. The patient underwent a successful surgical decompression with remarkable improvement in her neurological presentation. The histopathological findings consisted of increased collagen deposition and chondroid metaplasia.
Clinicians should be aware of possible cauda equina syndrome in rare cases of Baastrup's disease due to pseudotumoral mass compression in the lumbar spine.
“Baastrup 病”是一种较为常见的解剖学病变，被认为可能是导致背痛的原因，但常被不同专业的临床医生所忽视。我们报告了一例罕见的因形成巨大假肿瘤样硬膜外肿块而导致马尾神经根受压的 Baastrup 病。该患者接受了成功的减压手术，其神经表现显著改善。组织病理学检查结果显示胶原沉积增加和软骨样化生。
由于腰椎内假肿瘤样肿块的压迫，临床医生应该意识到罕见的 Baastrup 病可能出现马尾综合征。
