Neurol. praxi. 2016;17(2):117-122 | DOI: 10.36290/neu.2016.024

Lumbar spinal stenosis or amyotrophic lateral sclerosis?

doc. MUDr. Blanka Adamová, Ph.D.1,2, MUDr. Iva ©rotová1,2, MUDr. Jakub Stulík3
1 Neurologická klinika LF MU a FN Brno
2 CEITEC &ndash, Středoevropský technologický institut, Masarykova univerzita, Brno
3 Radiologická klinika LF MU a FN Brno

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterised by progressive impairment of upper and lower motor neurons. The typical sign of ALS is focal onset. The differential diagnosis of ALS, especially in the early stage of the disease when clinical and electrophysiological abnormalities are not fully developed, is wide. We present a case report that describes mistaking diagnosis of ALS in early stage for lumbar spinal stenosis that resulted in not indicated surgery. This case report emphasises the necessity of careful evaluation of degenerative impairment of spine as the main cause of neurological problems.

Keywords: lumbar spinal stenosis, amyotrophic lateral sclerosis, differential diagnosis

Published: February 1, 2016  Show citation

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Adamová B, ©rotová I, Stulík J. Lumbar spinal stenosis or amyotrophic lateral sclerosis? Neurol. praxi. 2016;17(2):117-122. doi: 10.36290/neu.2016.024.
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    References

    1. Alonso A, Logroscino G, Jick SS, Hernán MA. Incidence and lifetime risk of motor neuron disease in the United Kingdom: a population-based study. Eur J Neurol 2009; 16(6): 745-751. Go to original source... Go to PubMed...
    2. Ambler Z. Onemocnění motorického neuronu. In: Bednařík J et al. (ed). Klinická neurologie - část speciální II. 1st ed. Praha: Triton 2010: 771-794.
    3. Davenport RJ, Swingler RJ, Chancellor AM, Warlow CP. Avoiding false positive diagnoses of motor neuron disease: lessons from the Scottish Motor Neuron Disease Register. J Neurol Neurosurg Psychiatry 1996; 60(2): 147-151. Go to original source... Go to PubMed...
    4. Hardiman O, van den Berg LH, Kiernan MC. Clinical diagnosis and management of amyotrophic lateral sclerosis. Nat Rev Neurol 2011; 7(11): 639-649. Go to original source... Go to PubMed...
    5. Ishimoto Y, Yoshimura N, Muraki S, Yamada H, Nagata K, Hashizume H, Takiguchi N, Minamide A, Oka H, Kawaguchi H, Nakamura K, Akune T, Yoshida M. Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study. Osteoarthritis Cartilage 2012; 20(10): 1103-1108. Go to original source... Go to PubMed...
    6. Ishimoto Y, Yoshimura N, Muraki S, Yamada H, Nagata K, Hashizume H, Takiguchi N, Minamide A, Oka H, Kawaguchi H, Nakamura K, Akune T, Yoshida M. Associations between radiographic lumbar spinal stenosis and clinical symptoms in the general population: the Wakayama Spine Study. Osteoarthritis Cartilage 2013; 21(6): 783-788. Go to original source... Go to PubMed...
    7. Johnsson KE. Lumbar spinal stenosis. A retrospective study of 163 cases in southern Sweden. Acta Orthop Scand 1995; 66(5): 403-405. Go to original source... Go to PubMed...
    8. Kreiner DS, Shaffer WO, Baisden JL, Gilbert TJ, Summers JT, Toton JF, Hwang SW, Mendel RC, Reitman CA; North American Spine Society. An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update). Spine J 2013; 13(7): 734-743. Go to original source... Go to PubMed...
    9. Logroscino G, Traynor BJ, Hardiman O, Chi? A, Mitchell D, Swingler RJ, Millul A, Benn E, Beghi E; EURALS. Incidence of amyotrophic lateral sclerosis in Europe. J Neurol Neurosurg Psychiatry 2010; 81(4): 385-390. Go to original source... Go to PubMed...
    10. Mičánková Adamová B, Bednařík J. Lumbální spinální stenóza - poddiagnostikované onemocnění vyąąího věku. Med. praxi 2012; 9(11): 456-458.
    11. Otani K, Kikuchi S, Konno S, Yabuki S, Igarashi T, Onda A. Epidemiologic study of musculoskeletal disorders. The minami-aizu study. Part 1: Cross-sectional study of the incidence of lumbar spinal canal stenosis and its relation to low-back-pain-related QOL. Rinsho Seikeigeka 2008; 43: 789-796.
    12. Srinivasan J, Scala S, Jones HR, Saleh F, Russell JA. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. Muscle Nerve 2006; 34(3): 359-360. Go to original source... Go to PubMed...
    13. Testa D, Lovati R, Ferrarini M, Salmoiraghi F, Filippini G. Survival of 793 patients with amyotrophic lateral sclerosis diagnosed over a 28-year period. Amyotroph Lateral Scler Other Motor Neuron Disord 2004; 5(4): 208-212. Go to original source... Go to PubMed...
    14. Traynor BJ, Codd MB, Corr B, Forde C, Frost E, Hardiman O. Amyotrophic lateral sclerosis mimic syndromes: a population-based study. Arch Neurol 2000; 57(1): 109-113. Go to original source... Go to PubMed...
    15. Turner JA, Ersek M, Herron L, Deyo R. Surgery for Lumbar Spinal Stenosis: Attempted meta-analysis of literature. Spine 1992; 17(1): 1-8. Go to original source... Go to PubMed...
    16. Visser J, van den Berg-Vos RM, Franssen H, van den Berg LH, Vogels OJ, Wokke JH, de Jong JM, de Visser M. Mimic syndromes in sporadic cases of progressive spinal muscular atrophy. Neurology 2002; 58(11): 1593-1596. Go to original source... Go to PubMed...
    17. Wijesekera LC, Leigh PN. Amyotrophic lateral sclerosis. Orphanet J Rare Dis 2009; 4: 3. Go to original source... Go to PubMed...
    18. Wolf J, Safer A, Wöhrle JC, Palm F, Nix WA, Maschke M, Grau AJ. Variability and prognostic relevance of different phenotypes in amyotrophic lateral sclerosis - data from a population-based registry. J Neurol Sci 2014; 345: 164-167. Go to original source... Go to PubMed...
    19. Wood-Allum C, Shaw PJ. Motor neurone disease: a practical update on diagnosis and management. Clin Med 2010; 10(3): 252-258. Go to original source... Go to PubMed...
    20. Yabuki S, Fukumori N, Takegami M, Onishi Y, Otani K, Sekiguchi M, Wakita T, Kikuchi S, Fukuhara S, Konno S. Prevalence of lumbar spinal stenosis, using the diagnostic support tool, and correlated factors in Japan: a population-based study. J Orthop Sci 2013; 18(6): 893-900. Go to original source... Go to PubMed...
    21. Yamada M, Furukawa Y, Hirohata M. Amyotrophic lateral sclerosis: frequent complications by cervical spondylosis. J Orthop Sci 2003; 8(6): 878-881. Go to original source... Go to PubMed...

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