Neurology in metal-on-metal hip arthroplasty a case of suspected prosthetic hip-associated cobalt toxicity

Jetse Jelsma*, Henne Kleinveld, Annemieke Rozemuller, Ide Heyligers

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Metal-on-Metal hip arthroplasty was a frequently performed procedure, until concerns raised. Metal ion concentrations raise after the placement of a MoM prosthesis. This might lead to toxic concentrations of cobalt ions which might result in cardiotoxicity, thyroid toxicity and/or neuro-ocular toxicity. It is possible that raised cobalt and chromium concentrations have a role in the development of neurodegenerative diseases like Creutzfeldt-Jakob. We describe a patient with a MoM prosthesis who developed neurological symptoms were we thought of cobalt intoxication but turned out to be Creutzfeldt-Jakob disease.

Original languageEnglish
Pages (from-to)67-70
Number of pages4
JournalActa Orthopaedica Belgica
Volume86
Publication statusPublished - Mar 2020

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