Baastrup's Disease as a Rare Cause of Cauda Equina Syndrome: A Case Report

JBJS Case Connect. 2022 Jun 2;12(2). doi: 10.2106/JBJS.CC.22.00121. eCollection 2022 Apr 1.

Abstract

Case: "Baastrup's disease" is a relatively common anatomical condition, controversially recognized as a possible cause of back pain but frequently missed by clinicians of different specialties. We present a rare case of Baastrup's disease causing compression to the cauda equina nerves due to the formation of a large pseudotumoral epidural mass. The patient underwent a successful surgical decompression with remarkable improvement in her neurological presentation. The histopathological findings consisted of increased collagen deposition and chondroid metaplasia.

Conclusion: Clinicians should be aware of possible cauda equina syndrome in rare cases of Baastrup's disease due to pseudotumoral mass compression in the lumbar spine.

Publication types

  • Case Reports

MeSH terms

  • Cauda Equina Syndrome* / etiology
  • Cauda Equina Syndrome* / surgery
  • Cauda Equina* / diagnostic imaging
  • Cauda Equina* / pathology
  • Cauda Equina* / surgery
  • Decompression, Surgical / adverse effects
  • Female
  • Humans
  • Lumbar Vertebrae / surgery
  • Polyradiculopathy* / etiology
  • Polyradiculopathy* / pathology
  • Polyradiculopathy* / surgery