Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2022; 10(13): 4294-4300
Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4294
Spinal canal decompression for hypertrophic neuropathy of the cauda equina with chronic inflammatory demyelinating polyradiculoneuropathy: A case report
Lei Ye, Wei Yu, Nai-Zheng Liang, Ying Sun, Li-Fen Duan
Lei Ye, Wei Yu, Nai-Zheng Liang, Department of Neurosurgery, The Kunming Children’s Hospital, Kunming 650100, Yunnan Province, China
Ying Sun, Li-Fen Duan, Department of Epilepsy, The Kunming Children’s Hospital, Kunming 650100, Yunnan Province, China
Author contributions: Ye L was the patient’s neurosurgeon and contributed to manuscript-drafting; Duan LF, Liang NZ, Yu W and Sun Y reviewed the literature; all authors issued final approval for the version to be submitted.
Supported by the Yunnan Provincial Department of Science and Technology Kunming Medical University Application Foundation Research Joint Fund Project, No. 202001AY070001-273; the Epilepsy Research Fund of China Anti-Epilepsy Association, No. CQ-B-2021-04; and the Kunming Health Science and Technology Talent Training Project and “100 thousand” Project Training Plan, No. 2021-SW (province)-23.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Fen Duan, MD, Doctor, Department of Epilepsy, The Kunming Children’s Hospital, No. 288 Qianxing Road, Xishan District, Kunming 650100, Yunnan Province, China. duanlifen@etyy.cn
Received: November 20, 2021
Peer-review started: November 20, 2021
First decision: December 27, 2021
Revised: January 5, 2022
Accepted: March 7, 2022
Article in press: March 7, 2022
Published online: May 6, 2022
Processing time: 160 Days and 19.5 Hours
Core Tip

Core Tip: The rare case reported here thoroughly illustrates that chronic inflammatory demyelinating polyradiculoneuropathy can result in hypertrophic neuropathy of the cauda equina (HNCE) in children. This case provides new insights into the management of childhood chronic inflammatory demyelinating polyradiculoneuropathy. We demonstrated that laminectomy, followed by adjunct therapy, is a safe and effective treatment of HNCE. At the same time, etiological diagnosis is very important.