Compressive Cervical Myelopathy Related with Hemodialysis-Associated Amyloidoma

Abstract

We present a case of compressive cervical myelopathy seemingly produced by an amyloid deposit in a patient who had been on long-term hemodialysis. A 69-year-old man who had been on hemodialysis for about 25 years presented with neuropathic pain in both upper and lower extremities and progressive gait disturbance. Magnetic resonance imaging (MRI) revealed compressive myelopathy at the C3-4 level presumably caused by amyloidosis resulting from long-term dialysis-related complications. He underwent laminoplasty from C1 to C4. After surgical intervention and intensive rehabilitation, the patient showed clinical improvement. If progressive or sudden neurological symptoms and weakness develop in patients on long-term hemodialysis, spinal cord compression due to amyloidosis, which can occur rarely, should be considered.