間欠性跛行を呈した胸椎黄色靭帯骨化症の 2 症例

概要

論文の詳細を見る
Neurogenic intermittent claudication is a well known symptom of lumbar canal stenosis. But few people know that the symptom is also provoked by spinal cord lesions. Spinal intermittent claudication is a rare symptom caused by cord compression. We reported two cases with spinal intermittent claudication caused by ossification of the thoracic yellow ligament (OYL). In neither case was any other lesion depicted at any spinal level. Both patients experienced either hyperreflexia or sensory disturbances in the lower limbs. One of them also showed sensory niveau at T8. After surgical removal of OYL, intermittent claudication disappeared promptly, though other neurological findings remained unchanged. When thoracic OYL is the cause of the spinal intermittent claudication, we recommend operative removal as the treatment of first choice.
日本脊髄外科学会の論文
2000-10-31