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Case Reports
. 2012 Jul;3(2):58-61.
doi: 10.4103/0974-8237.116538.

Primary spinal intradural extramedullary lymphoma causing cauda equina syndrome

Goutham Cugati  1 , Manish Singh, Nigel Peter Symss, Anil Pande, M C Vasudevan, Ravi Ramamurthi
Affiliations
Case Reports

Primary spinal intradural extramedullary lymphoma causing cauda equina syndrome

Goutham Cugati et al. J Craniovertebr Junction Spine. 2012 Jul.

Abstract

We report a case of lumbar intradural extramedullary lesion in an 11-year-old boy who presented with cauda equina syndrome and acute bladder disturbance. He underwent emergency surgical resection of the lesion, which was proved to be a lymphoma by histopathology and immunohistochemistry. He has improved neurologically and after 1 year, he is leading a normal life with near normal neurological functions. This is the second case of primary spinal intradural extramedullary lymphoma. This is the first such case in the pediatric age group and causing cauda equina syndrome. We describe the characteristics of such tumors along with pathogenesis and management.

Keywords: Cauda equina syndrome; chemoradiation; intradural extramedullary tumors; primary spinal lymphoma.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Pre-operative magnetic resonance imaging of the spine showing a sausage shaped intradural extramedullay lesion at L1 and L2 spinal levels. (a) T1-weighted sagittal, (b) T2-weighted sagittal, (c) T1-weighted axial, (d) T2-weighted axial, and (e) MR myelogram
Figure 2
Figure 2
Histopathological examination of the tumor showing a dense infi ltration of round cells admixed with cells with large eosinophilic cytoplasm and vesicular nucleus with prominent nucleolus, consistent with non-hodgkin's lymphoma
Figure 3
Figure 3
Post-operative magnetic resonance imaging showing total excision of the lesion. (a) T1-weighted sagittal and (b) T2-weighted sagittal, (c) clinical photograph at 1 year
See this image and copyright information in PMC

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