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Case Reports
. 2009 Jul;12(3):188-90.
doi: 10.4103/0972-2327.56321.

Unusual case of paraplegia

Prem Amalraj  1 , S Syamlal
Affiliations
Case Reports

Unusual case of paraplegia

Prem Amalraj et al. Ann Indian Acad Neurol. 2009 Jul.

Abstract

Paraplegia due to a spinal cord epidural mass is an extremely rare presentation of undiagnosed leukemia. We are reporting a case of 14-year-old girl, who presented with paraplegia due to thoracic epidural mass, as the initial presenting manifestation of acute myeloid leukemia. Granulocytic sarcoma or chloroma should be considered in the differential diagnosis of an epidural mass in patients with or with out leukemia granulocytic sarcoma, which are rare extramedullary tumor-like proliferation of myelogenous precursor cells that may de novo precede acute leukemia or coincide with the first manifestation or relapse of acute myeloid leukemia.

Keywords: Acute myeloid leukemia; chloroma; granulocytic sarcoma.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
MRI of the dorsal spine showing an epidural mass that is hypointense in T1WI (figure 1A) and hyperintense in T2WI with a distinct line of dural demarcation (see arrows) in figure 1B
Figure 2
Figure 2
Peripheral smear showing blast cells (inset) and bone marrow showing blast cells s/o acute myeloid leukemea
See this image and copyright information in PMC

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