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Related Experiment Video

Updated: Jul 10, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

A CASE OF LEPTOMENINGEAL DISEASE PRESENTING AS A LUMBAR NERVE ROOT RADICULOPATHY: A Case Report.

J W Reggars, S D French

Australasian Chiropractic & Osteopathy : Journal of the Chiropractic & Osteopathic College of Australasia

|November 8, 2007

Summary

Leptomeningeal disease can mimic lumbar disc issues, presenting with back pain and neurological deficits. Early consideration is crucial in cancer patients with these symptoms.

Related Experiment Videos

Last Updated: Jul 10, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Area of Science:

Neurology
Oncology
Radiology

Background:

A 62-year-old male with a history of low-grade non-Hodgkin's lymphoma presented with low back and thigh pain.
Initial symptoms were attributed to chronic low back pain and treated with manual therapy.

Observation:

The patient developed a left-sided limp and facial droop (Bell's palsy) despite initial improvement.
Lumbar spine CT showed disc bulging at L4/5, initially suggesting a disc lesion.

Findings:

MRI revealed leptomeningeal disease affecting cranial nerves, cauda equina, and vertebral bodies (L1, L5).
This widespread leptomeningeal carcinomatosis was the direct cause of the patient's death three weeks post-diagnosis.

Implications:

Leptomeningeal disease should be considered in cancer patients presenting with back pain and neurological symptoms.
This case highlights the importance of advanced imaging in diagnosing rare but aggressive conditions mimicking common ailments.