Lumbar Spinal Canal Stenosis in Acromegaly: A Case Report and Literature Review

A 60-year-old Japanese man diagnosed with acromegaly at 28 years old had difficulty walking due to worsening back pain. He had been treated with somatostatin analog since 57 years old, but his pain and numbness continued to worsen. Lumbar magnetic resonance imaging showed disc bulging at L3/4 and L4...

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Bibliographic Details
Published in:Internal Medicine 2023/07/15, Vol.62(14), pp.2093-2098
Main Authors: Yoshizawa, Miyako, Nagai, Kosuke, Asano, Shoko, Hori, Takeshi, Takagawa, Kiyoshi, Shimatsu, Akira
Format: Article
Language:English
Subjects:
Acromegaly
Acromegaly - complications
Acromegaly - diagnosis
Adult
Back Pain
Canals (anatomy)
Case Report
Constriction, Pathologic
Humans
Hypertrophy
hypertrophy of yellow ligament
IGF-1
insulin-like growth factor-1
Internal medicine
Intervertebral discs
Joint diseases
Literature reviews
Lumbar Vertebrae - diagnostic imaging
Magnetic Resonance Imaging
Male
Middle Aged
osteoarthropathy
Pain
Somatostatin
Spinal Canal - diagnostic imaging
spinal canal stenosis
Spinal Stenosis - complications
Spinal Stenosis - diagnostic imaging
Stenosis
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Summary:A 60-year-old Japanese man diagnosed with acromegaly at 28 years old had difficulty walking due to worsening back pain. He had been treated with somatostatin analog since 57 years old, but his pain and numbness continued to worsen. Lumbar magnetic resonance imaging showed disc bulging at L3/4 and L4/5, and he was diagnosed with lumbar spinal canal stenosis due to hypertrophy of the yellow ligament. Patients with acromegaly may complain of osteoarthropathy, so we must pay attention to the symptoms of spinal canal stenosis in collaboration with orthopedic specialists.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.0763-22