Lumbar radiculopathy in ankylosing spondylitis with dural ectasia

J Clin Neurosci. 2007 Oct;14(10):981-3. doi: 10.1016/j.jocn.2006.07.005.

Abstract

We present a 57-year-old man with ankylosing spondylitis (AS) and significant dorsal lumbar dural ectasia (diverticulum). An L5 nerve root monoradiculopathy associated with AS has not been previously reported. The quantity and extent of such ectasia is variable but may be related to cauda equina syndrome. Long-term follow-up of these cases may reveal whether or not solitary nerve lesions gradually lead to cauda equina syndrome. We recommend that asymptomatic or symptomatic patients with dural ectasia should be closely observed without need for immediate surgical intervention.

Publication types

  • Case Reports

MeSH terms

  • Arachnoid Cysts / etiology
  • Arachnoid Cysts / pathology
  • Arachnoid Cysts / physiopathology
  • Cauda Equina / pathology
  • Cauda Equina / physiopathology
  • Diagnosis, Differential
  • Diverticulum / etiology
  • Diverticulum / pathology
  • Diverticulum / physiopathology
  • Dura Mater / diagnostic imaging
  • Dura Mater / pathology*
  • Dura Mater / physiopathology
  • Early Diagnosis
  • Humans
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / pathology
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Nerve Compression Syndromes
  • Polyradiculopathy / etiology
  • Polyradiculopathy / pathology
  • Polyradiculopathy / physiopathology
  • Radiculopathy / etiology*
  • Radiculopathy / pathology*
  • Radiculopathy / physiopathology
  • Radiography
  • Sacroiliac Joint / diagnostic imaging
  • Sacroiliac Joint / pathology
  • Spinal Nerve Roots / pathology*
  • Spinal Nerve Roots / physiopathology
  • Spinal Stenosis
  • Spondylitis, Ankylosing / complications*
  • Spondylitis, Ankylosing / diagnostic imaging
  • Spondylitis, Ankylosing / pathology*
  • Zygapophyseal Joint / pathology
  • Zygapophyseal Joint / physiopathology