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KMID : 0948920100090010041
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Clinical Pain
2010 Volume.9 No. 1 p.41 ~ p.44
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Extradural Metastasis Presenting as a Lumbar Radiculopathy in Hemiplegic Patient -A Case Report-
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Kim Joon-Sung
Choi Eun-Seok
Chung Myung-Eun
Yu In-Hee
Kim Yang-Soo
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Abstract
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We present the case of a 78-year-old man with a history of cerebral infarction who presented with severe radicular pain despite conservative management. His complaint was only radicular pain, but there was no clinical sign of other medical disease. Magnetic resonance image showed an ovoid bone tumor at L5 vertebral body. Results from a computed tomography and a lung biopsy showed non-small cell lung cancer, and multiple vertebral metastasis. In view of the atypical presentation of our patient’s malignancy, we emphasize the importance of including malignancy of lumbar spine in the differential diagnosis of pregressive lower back pain with radiculopathy.
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KEYWORD
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Buttock pain, Lumbar radiculopathy, Metastatic spinal tumor, Hemiplegia
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