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Related Experiment Video

Updated: May 26, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

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

Multiple myeloma with cauda equina infiltration.

Thiago Cardoso Vale, Gustavo Machado Teixeira, Breno Franco Silveira Fernandes

    Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
    |January 6, 2012
    PubMed
    Summary
    This summary is machine-generated.

    A rare case of multiple myeloma caused diffuse cauda equina infiltration, leading to lumbar pain and leg weakness. This spinal cord condition highlights unusual presentations of the blood cancer.

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    Last Updated: May 26, 2026

    Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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    Published on: November 8, 2024

    Intraoperative Ultrasound in Spinal Surgery
    05:53

    Intraoperative Ultrasound in Spinal Surgery

    Published on: August 17, 2022

    Area of Science:

    • Neurology
    • Oncology
    • Hematology

    Background:

    • Multiple myeloma is a plasma cell malignancy.
    • Spinal cord involvement in multiple myeloma can occur but is often associated with leptomeningeal disease.

    Observation:

    • A 51-year-old male with multiple myeloma presented with new-onset lumbar pain and left lower extremity paresis.
    • Magnetic resonance imaging (MRI) of the brain and spine revealed diffuse infiltration of the cauda equina.
    • No cranial leptomeningeal enhancement was detected on imaging.

    Findings:

    • The case demonstrates an extremely rare presentation of multiple myeloma with isolated cauda equina infiltration.
    • This contrasts with more common patterns of leptomeningeal carcinomatosis.

    Implications:

    • This case expands the understanding of neurological complications in multiple myeloma.
    • Highlights the importance of considering spinal leptomeningeal disease even without cranial involvement.
    • Suggests the need for tailored diagnostic and treatment strategies for such rare presentations.