KMID : 1189320110050030192
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Asian Spine Journal 2011 Volume.5 No. 3 p.192 ~ p.195
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Primary Lumbo-sacral Spinal Epidural Non-Hodgkin¡¯s Lymphoma: A Case Report and Review of Literature
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Mally Rahul
Sharma Mayur Khan Shadma Velho Vernon
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Abstract
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We present a case of 24-year-old male presented with low back pain radiating to the left lower limb, tingling numbness and weakness of 6 months duration. Magnetic resonance imaging scan with contrast reveals an extradural mass at lumbosacral region. Patient was operated with laminectomy and complete excision of the lesion was done. Patient¡¯s radicular pain relieved following the surgery and weakness also improved. Histopathology was suggestive of non-Hodgkin¡¯s lymphoma. Patient received chemotherapy which was followed by radiotherapy. Primary Non-Hodgkin¡¯s lymphoma of the lumbosacral spinal epidural tissue is an uncommon lesion. Lymphoma involves the central nervous system in 5-11% of cases either at presentation of the disease or during its course. The spinal epidural tissue is involved primarily in 0.1-3.3% of cases with spinal cord compression being the commonest presentation. Excision of the lesion followed by chemotherapy and radiotherapy is required to achieve cure.
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KEYWORD
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Lumbosacral region, Spinal, Epidural, Non-Hodgkin¡¯s lymphoma
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