VASCULAR STEAL MIMICKING COMPRESSION MYELOPATHY IN PAGETS-DISEASE OF BONE - RAPID REVERSAL WITH CALCITONIN AND SYSTEMIC STEROIDS

Authors
YOST JH SPENCERGREEN G KRANT JD
Citation
Jh. Yost et al., VASCULAR STEAL MIMICKING COMPRESSION MYELOPATHY IN PAGETS-DISEASE OF BONE - RAPID REVERSAL WITH CALCITONIN AND SYSTEMIC STEROIDS, Journal of rheumatology, 20(6), 1993, pp. 1064-1065
Citations number
10
Categorie Soggetti
Rheumatology
Journal title
Journal of rheumatology → ACNP
ISSN journal
0315162X
Volume
20
Issue
6
Year of publication
1993
Pages
1064 - 1065
Database
ISI
SICI code
0315-162X(1993)20:6<1064:VSMCMI>2.0.ZU;2-3
Abstract
Neurologic manifestations of Paget's disease of bone are primarily a r esult of mechanical compression on cranial nerves, spinal cord and roo ts. Less recognized is a myelopathy from ''vascular steal'' to highly vascularized and hypermetabolic pagetic bone. We describe a case of pr esumed ischemic myelitis in a patient with Paget's disease and aortic stenosis that was rapidly reversed with subcutaneous calcitonin and in travenous dexamethasone.