An odd and serious “disc bulging”! - 08/08/19
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Abstract |
Background and importance |
Cauda equina syndrome is a common acute medical condition, usually caused by large degenerative disc herniation or metastatic lumbar disease. We describe a patient who presented with a lesion featuring both discal and tumoral characteristics.
Clinical presentation |
A 41-year-old woman presented with ongoing back pain, progressive lower-limb weakness and sphincter disorder. Magnetic resonance imaging showed a very odd-looking large anterior epidural lesion originating from the L3-L4 space and severely compressing the roots of the cauda equina. Partial surgical decompression was performed in emergency. At a later time, redo surgery was performed to maximize resection, and was unfortunately followed by several complications. After 6 surgical procedures including a ventriculo-peritoneal shunt insertion and intensive rehabilitation, the patient could walk independently with the aid of one crutch. Following collegial review, the diagnosis of low-grade chondrosarcoma of the intervertebral disc was suggested.
Conclusion |
We report on a very unusual and therapeutically challenging spinal tumor diagnosed as low-grade chondrosarcoma of discal origin, an entity never previously described.
Le texte complet de cet article est disponible en PDF.Keywords : Cauda equina syndrome, Spinal tumor, Epidural compression, Low-grade chondrosarcoma, Synovial chondromatosis
Plan
Vol 65 - N° 4
P. 187-190 - août 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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