J Korean Neurosurg Soc.  2011 Apr;49(4):234-236. 10.3340/jkns.2011.49.4.234.

Leg Weakness in a Patient with Lumbar Stenosis and Adrenal Insufficiency

Affiliations
  • 1Department of Neurosurgery, Kyungpook National University, Hospital, Daegu, Korea.
  • 2Department of Neurology, College of Medicine, Chung-Ang University, Seoul, Korea.
  • 3Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. ybkim1218@cau.ac.kr

Abstract

Lumbar spinal stenosis (LSS) is a common spinal disease in the elderly. The cardinal symptom of LSS is neurogenic claudication, but not all patients present with such typical symptom. The clinical symptoms are often confused with symptoms of peripheral neuropathy, musculo-skeletal disease and other medical conditions in elderly patients. In particular, LSS presenting with rapid progression of leg weakness must be distinguished from other combined diseases. We report a case of rapid progressive leg weakness in a patient with LSS and iatrogenic adrenal insufficiency that was induced by obscure health supplement.

Keyword

Leg weakness; Lumbar spinal stenosis; Adrenal insufficiency

MeSH Terms

Adrenal Insufficiency
Aged
Constriction, Pathologic
Humans
Leg
Peripheral Nervous System Diseases
Spinal Diseases
Spinal Stenosis
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