alexa A Prolapsed Intervertbral Disc as the Presenting Featur
ISSN: 2329-6895

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Case Report

A Prolapsed Intervertbral Disc as the Presenting Feature for Alkaptouria: Case Report

Abdulrahman Al-Shudifat1,2*, Khalid Alkharazi2, Qussay Salih Alsabbagh2 and Nosaiba T Ryalat3
1Department of Neurosurgery, Lund University, Sweden
2Department of Neurosurgery, The University of Jordan, Jordan
3Department of Radiology, The University of Jordan, Jordan
*Corresponding Author : Abdulrahman Al-Shudifat
Department of Neurosurgery
Lund University, Sweden
Tel: +46760807915
E-mail: abdulrahman.alshudifat@
Received: January 25, 2016 Accepted: February 18, 2016 Published: February 22, 2016
Citation: Al-Shudifat A, Alkharazi K, Alsabbagh QS, Ryalat NT (2016) A Prolapsed Intervertbral Disc as the Presenting Feature for Alkaptouria: Case Report. J Neurol Disord 4:253. doi:10.4172/2329-6895.1000253
Copyright: © 2016 Al-Shudifat A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Alkaptonuria is a rare metabolic disease caused by deficiency of homogentisic acid oxidase and characterized by bluish-black discoloration of cartilages and skin (ochronosis). Discal herniation requiring surgery is unusual in alkaptonuria, with only a few reports. The authors report the case of an elderly patient with lumbar disc herniation who underwent discectomy and in whom the nucleus pulposus was discovered to be black. Alkaptonuria was diagnosed after discectomy. The symptoms in the patient disappeared after surgery.


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