Abstract
Neurologic manifestations of Paget's disease of bone are primarily a result of mechanical compression on cranial nerves, spinal cord and roots. Less recognized is a myelopathy from "vascular steal" to highly vascularized and hypermetabolic pagetic bone. We describe a case of presumed ischemic myelitis in a patient with Paget's disease and aortic stenosis that was rapidly reversed with subcutaneous calcitonin and intravenous dexamethasone.
Publication types
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Case Reports
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Comparative Study
MeSH terms
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Aged
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Aortic Valve Stenosis / complications
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Calcitonin / therapeutic use
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Dexamethasone / therapeutic use
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Diagnosis, Differential
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Humans
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Ischemia / complications
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Ischemia / diagnosis*
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Ischemia / drug therapy
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Male
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Myelitis / complications
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Myelitis / diagnosis*
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Myelitis / drug therapy
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Osteitis Deformans / complications
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Osteitis Deformans / diagnosis*
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Osteitis Deformans / drug therapy
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Spinal Cord / blood supply*