[Acromegaly and spinal canal stenosis]

Area of Science:

• Endocrinology
• Neurology
• Spinal Surgery

Background:

• Acromegaly, a disorder caused by excess growth hormone, can lead to various complications.
• Spinal canal stenosis can result from acromegalic changes, causing neurological deficits.

Observation:

• A 55-year-old male with a long history of acromegaly presented with radiculomyelopathy and spinal canal stenosis.
• Symptoms included low back pain, leg atrophy, dysesthesia, and impaired mobility.
• Radiographic findings revealed ossification of spinal ligaments and spondylotic changes.

Findings:

• Transsphenoidal hypophyseal adenomectomy was performed, with partial tumor removal.
• Post-surgery, low back pain and knee pain decreased, but intermittent claudication persisted.
• The case highlights the complex interplay between acromegaly, spinal stenosis, and treatment challenges.

Implications:

• This case underscores the importance of considering spinal complications in acromegaly patients.
• Effective management requires a multidisciplinary approach addressing both endocrine and neurological aspects.
• Further research is needed on the long-term outcomes and therapeutic strategies for acromegaly-associated spinal stenosis.