Abstract

We present a patient with an unusual paraganglioma of the cauda equina region. This 74year-old male had chronic low back pain for about 20 years. Sudden onset of urinary retention, and weakness of bilateral lower limbs, and subsequent confinement to bed occurred on the same day. Magnetic resonance imaging of lumbar spine revealed an intradural oval mass at the level of his 2nd and 3rd lumbar vertebrae. Operation disclosed an encapsulated mass attached to his filum terminale. Total extirpation of the mass lesion was performed. Histopathological examination showed a paraganglioma. There has been no recurrence during 2 years of follow-up. This kind of tumor is rare, but treatable, and can be the cause of cauda equina syndrome.

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