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- W2004397963 abstract "A young patient with no significant past medical history presented with a 2 month history of worsening lower back pain radiating to both lower limbs. Findings on neurological examination were of decreased power in both lower limbs to 4/5. Magnetic resonance imaging (MRI) demonstrated a 3 cm well circumscribed homogenously enhancing intradural lesion at the level of the L4 vertebral body causing displacement of the surrounding caudal nerve roots (figure 1). Four days later the patient developed cauda equina syndrome characterised by increasing pain and double sphincter dysfunction. A repeat urgent MRI study was performed which demonstrated cranial migration of the extradural mass lesion to the level of the L3 vertebral body (figure 2). The patient underwent urgent neurosurgical decompression. L2 to L4 laminectomies were performed with a midline durotomy. The lesion was observed to be intimately related to the filum terminale and was excised. The patient made an uneventful postoperative recovery. Histopathological examination of the excised lesion confirmed a schwannoma." @default.
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- W2004397963 date "2010-04-14" @default.
- W2004397963 modified "2023-09-30" @default.
- W2004397963 title "Migrating tumour of the cauda equina" @default.
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- W2004397963 doi "https://doi.org/10.1136/pgmj.2010.097147" @default.
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