Asian Spine J.  2015 Feb;9(1):103-105. 10.4184/asj.2015.9.1.103.

Spinal Stenosis Presenting with Scrotal and Perianal Claudication

• Oh JY
• Tan JH
• Teo TW
• Hee HT

• KMID: 2270200
• DOI: http://doi.org/10.4184/asj.2015.9.1.103

Abstract

A 63-year-old gentleman presented with a one-year duration of progressive neurogenic claudication. However, unlike most patients who presents with leg symptoms, his pain was felt in his scrotal and perianal region. This was exacerbated with walking and standing, but he had immediate relief with sitting. An magnetic resonance imaging (MRI) was performed which showed severe central canal stenosis. An L3/4 and L4/5 surgical decompression and a transforaminal lumbar interbody fusion was performed, and the patient made good recovery with immediate resolution of symptoms. Although rare, spinal stenosis should be considered a differential when approaching a patient with perianal and scrotal claudication, even in the absence of leg claudication. An MRI is useful to confirm the diagnosis. This rare symptom may be a sign of severe cauda equina compression and we recommend decompression with predictable good results.

Keyword

Spinal; Stenosis; Atypical; Claudication

MeSH Terms

Cauda Equina
Constriction, Pathologic
Decompression
Decompression, Surgical
Diagnosis
Humans
Leg
Magnetic Resonance Imaging
Middle Aged
Spinal Stenosis*
Walking