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CASE REPORT
Year : 2017  |  Volume : 51  |  Issue : 3  |  Page : 330-333

Acute flaccid paraparesis (cauda equina syndrome) in a patient with Bardet–Biedl syndrome


Department of Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
S Rajasekaran
Ganga Hospital, No. 313, Mettupalayam Road, Coimbatore - 641 043, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.205682

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Bardet–Biedl syndrome (BBS) is a rare, autosomal-recessive, debilitating genetic disorder, which can present with multitudinous systemic clinical features including rod-cone dystrophy, polydactyly, Frohlich-like central obesity, mental retardation, hypogonadism, and renal anomalies. Diverse neuromuscular manifestations in patients afflicted by this heterogeneous disorder include ataxia, cervical, and thoracic canal stenoses, presenting as spastic quadriparesis and other gait disturbances. We report a young patient with BBS, who had presented with acute flaccid paraparesis due to severe primary lumbar canal stenosis. She underwent immediate lumbar decompression and discectomy following which she recovered significantly. Acute cauda equina syndrome due to primary lumbar canal stenosis has not been reported as a clinical feature of BBS previously.


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