Cervical Myelopathy From Pseudogout: A Rare Case of Calcium Pyrophosphate Deposition.

Calcium pyrophosphate dihydrate deposition (CPPD), or pseudogout, typically affects joints like the knee and shoulder but can also deposit in spinal structures, sometimes leading to myeloradiculopathy with severe neck pain and upper limb weakness. Mild cases are managed with anti-inflammatory drugs, while severe cases require surgical decompression. We report a rare case of pseudogout causing cervical spine myelopathy at the C1-2 level, discovered during spine surgery and confirmed by pathology. After removing the deposits, the patient showed significant improvement, emphasizing the need to consider pseudogout in cases of acute neck pain with neurological symptoms.

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Copyright © 2024, I.KH. Almadhoun et al.

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Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: The authors, from different institutions, worked collaboratively in the diagnosis, management, and treatment of the patient, who was a resident of Irbid, Jordan. The patient had been regularly visiting a local healthcare center in Irbid due to the symptoms described in the case report. An MRI was conducted at the same healthcare center, and after diagnosis, the patient was transferred to another hospital where the necessary surgery was performed, along with biopsy collection for further diagnosis. Following the surgery, the patient's follow-up care was managed in Irbid by Dr. Osama.