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Compressive myelopathy due to dialysis-associated amyloidosis
R Sanchez1, M Praga, J J Rivas Salas
1Nephrology Department, Hospital 12 de Octubre, Madrid, Spain.
Nephron
|January 1, 1993
Abstract:
A 66-year-old woman presented a spastic quadriparesis due to compression of the cervical cord 6 years after the beginning of chronic hemodialysis. Five years later, she developed a second episode of compressive myelopathy affecting the lumbar spine. On both occasions, surgical laminectomy with removal of fibroligamentous rings that compressed the cord led to a total recovery of the patient. Histological study demonstrated the presence of massive amyloid deposits in the surgically excised material.