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[An achondroplastic dwarf with paraplegia]

A Rakier1, G Sviri, M Feinsod

  • 1Dept. of Neurosurgery, Rambam (Maimonides) Medical Center, Rappaport Faculty of Medicine, The Technion, Israel Institute of Technology, Haifa.

Harefuah
|February 14, 1998
PubMed
Summary

A rare complication of achondroplasia, progressive paraplegia, can cause severe neurological deficits. Early surgical decompression of spinal stenosis in achondroplasia can lead to complete recovery.

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Area of Science:

  • Neurology
  • Orthopedics
  • Genetics

Background:

  • Achondroplasia is a common form of dwarfism.
  • Spinal stenosis is a frequent complication of achondroplasia.

Observation:

  • A 30-year-old female with achondroplasia presented with progressive gait disturbance.
  • Her condition worsened to flaccid paraplegia with incontinence.
  • CT imaging revealed severe lumbar spinal stenosis and disc protrusions.

Findings:

  • Surgical decompression via wide laminectomy of lumbar vertebrae was performed.
  • The patient experienced complete resolution of all neurological deficits post-surgery.

Implications:

  • Progressive paraplegia is a rare but treatable complication of achondroplasia.
  • Early diagnosis and surgical intervention for spinal stenosis in achondroplasia are crucial for favorable outcomes.
  • This case highlights the importance of considering spinal stenosis in achondroplastic individuals with neurological decline.

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