Case Report

IgG4-Related Sclerosing Disease Causing Spinal Cord Compression: The First Reported Case in Literature

Table 1


CasePatient AgeGenderClinical presentationPresence of extra-spinal diseaseTreatmentOutcome

Chan et al. 200937MaleBilateral lower extremity weakness, numbness, unsteady gait × 2 weeksNot reportedNot reportedNot reported

Choi et al. 201046FemaleProgressive bilateral lower extremity weakness and numbness × 2 weeksNot reportedSteroidsImproved exam to ‘near normal’ after initial surgery; progression 2 months post op required second resection (subtotal) with full recovery; no recurrence at 8 months

Lindstrom et al. 201055MaleCord compression, C3-C7 massNot reportedSteroids; Radiation Therapy“Doing well” at 15 month follow up

Lindstrom et al. 201063MaleBilateral hand numbness, C2-C3 massNot reportedNot reportedLost to follow-up

Tajima et al. 201264MaleGradually progressive and worsening dysphagia for 1 monthSlight swelling in both kidneys-renalSteroidsImprovement of symptoms and MRI findings at 3 weeks

Wallace et al. 201332MaleWeakness of dorsum of right footNot reportedNot reportedLost to follow-up

Ezzeldin et al. 201455MaleDiplegia of lower extremities and T4/T5 sensory level for 2 weeksNot reportedSteroidsAble to ambulate at discharge (timing not specified)

Kim et al. 201452FemaleSudden weakness of bilateral lower extremities for 2 days; paraplegia, urinary retentionNoneSteroidsUnchanged after 2 months

Gu et al. 201643MaleNeck pain for 15 days, bilateral lower extremity numbness/weakness, bowel/bladder dysfunction for 4 daysPatient declined testingNot reportedResolution of symptoms at 6 months post-op

Radotra et al. 201650MaleProgressive bilateral lower extremity weakness for 6 monthsNot reportedSteroidsMarginal improvement in strength 7 months post-op

Radotra et al. 201619Maleback and left lower extremity pain for 1 year; subtle knee extensor weakness bilaterallyNot reportedSteroidsPain free at 6 months; stable exam

Ferreira et al. 201657FemaleWorsening low back pain for 2.5 years; bilateral lower extremity numbness and weaknessNoneSteroidsRecurrence and progressive paresis later improved after third resection and long-term steroids

Lu et al. 201655MaleDiffuse numbness and weakness for 6 months; constipation and dysuria for 7 daysNot reportedSteroids, cyclophosphamideRecovered defecation/urination at 20 days; ambulated independently at 5 months

Rumalla et al. 201750MaleRapidly progressive severe back pain at T6 level for 3 months; acute onset paraplegia, T6 sensory levelRight lung associated with adjacent vertebral involvementSteroidsNear normal lower extremity strength 2 months post-op

Williams et al. 201746FemaleWorsening neck pain and bilateral upper extremity paresthesias and weakness for 4 monthsNot reportedSteroids, azathioprineImproving strength at 6 month post-op visit

Bridges et al. 201768MaleIntermittent thoracic spine pain for 3 years, progressive trunk numbness and bilateral lower extremity numbness for 6 months, dysequilibriumNoneSteroidsWalking independently with resolution of pain at 3 months post-op

Winkel et al. 201848FemaleLower back pain, neurogenic claudication, right lower extremity radiculopathy, extradural mass L2-L3 levelNoneSteroidsAsymptomatic at 1 year follow-up