Spinal Compression by Brown Tumor in Two Patients With Chronic Kidney Allograft Failure on Maintenance Hemodialysis

Authors

  • Osama Gheith Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
  • Hesham Ammar Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
  • Ahmed Akl Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
  • Ahmed Hamdy Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
  • Mohamed El-saeed Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
  • Tamer El-salamouny Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
  • Mohamed Adel Bakr Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
  • Mohamed Ghoneim Urology and Nephrology Center, Mansoura University, Mansoura, Egypt

Abstract

Brown tumors with non-neoplastic process are noticed in patients with end-stage renal disease suffering from a severe form of secondary hyperparathyroidism. Herein, we report a patient with chronic kidney allograft failure returned back to hemodialysis who experienced manifestations of cauda equina compression secondary to a lumbar brown tumor. Also, we had another patient on hemodialysis with a demineralized lesion affecting the cervical vertebrae. Although brown tumor is a rare complication, these two cases highlighted the importance of neurological symptoms in uremic patients. Spinal decompression surgery, in order to alleviate pressure on neurological structures, together with subtotal parathyroidectomy, were highly indicated.

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Published

2010-06-18

Issue

Section

CASE REPORT | Dialysis