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Introduction Cauda equina syndrome is most characterized by lumbar disc herniation, and its associated therapy requires prompt surgical decompression. presenting myself A 62-year-old female with a history of rheumatoid arthritis, hip and knee replacements, and chronic low back pain presented with worsening back pain, left leg weakness, and pain for six weeks, as well as decreased sensation in the perianal area for 24 hours before the presentation. Patient did well at the 2-week follow-up but the patient was released 5 weeks post-discharge with increased left leg pain/weakness and genitalia anesthesia. The patient's bladder, bilateral lower extremities, and bowel/bladder incontinence were all present in the patient's two months and a month ago. With the help of the left sciatic foramen and S3 neural foramen, imaging revealed a large cystic presacral mass. This is the first reported case of a pudendal tumor causing symptoms that were originally related to a herniated disc.
Source link: https://doi.org/10.1038/s41394-022-00537-3
Introduction Cysticercosis, caused by Cysticercus cellulosae, is one of the most common parasitic disorders that can affect the central nervous system. Case Presentation This paper was based on a situation where the patient was experiencing low back pain with radiation and cauda equina syndrome. Discussing Spinal NCC in the differential diagnosis of a patient who has a cystic lesion in the spinal subarachnoid space. The cysts should be surgically investigated and extracted not only to establish the diagnosis but also to decompress the cord and peripheral nerves.
Source link: https://doi.org/10.1038/s41394-022-00535-5
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