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

Primary spinal intradural extramedullary lymphoma causing cauda equina syndrome

Goutham Cugati1, Manish Singh, Nigel Peter Symss

  • 1Department of Neurosurgery, Narayana Hrudayalaya Multispeciality Hospitals, Mysore, Karnataka, India.

Journal of Craniovertebral Junction & Spine
|October 2, 2013
PubMed

Insights

A rare pediatric spinal lymphoma caused cauda equina syndrome in an 11-year-old boy. Surgical removal led to near-normal neurological function, highlighting effective management for this uncommon condition.

Area of Science:

  • Neurology
  • Pediatric Oncology
  • Spinal Surgery

Background:

  • Intradural extramedullary lesions are rare spinal tumors.
  • Primary spinal lymphomas are exceptionally uncommon, particularly in children.
  • Cauda equina syndrome requires prompt diagnosis and intervention.

Observation:

  • An 11-year-old boy presented with cauda equina syndrome and acute bladder dysfunction.
  • An intradural extramedullary lesion was identified in the lumbar spine.
  • The lesion was surgically resected under emergency conditions.

Findings:

  • Histopathology and immunohistochemistry confirmed the lesion as lymphoma.
  • This represents the first pediatric case of primary spinal intradural extramedullary lymphoma causing cauda equina syndrome.
  • The patient experienced significant neurological improvement post-surgery.

Implications:

  • This case expands the understanding of rare spinal tumors in pediatric patients.
  • Early surgical management can lead to favorable neurological outcomes.
  • Further research into the pathogenesis and optimal treatment strategies for spinal lymphomas is warranted.

Keywords:
Cauda equina syndromechemoradiationintradural extramedullary tumorsprimary spinal lymphoma

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