Medical Case Reports

Intradural Extramedullary Lumbar Spinal Metastasis with Unknown Primary Tumor Site: A Rare Case Report

Background

Intradural extramedullary spinal metastasis tumor in the lumbar region is an extremely rare condition. Neurological symptoms that arise from cauda equina compression are cauda equina syndrome.

Case Presentation

This study reports a case of a 41-years-old female with a history of progressive low back pain, paresthesia on lower extremities, mild paraparesis, and bladder symptoms. Patient had history surgery of breast and ovarian tumor without histopathology report. Lumbar spine MRI showed an intradural extramedullary solid lesion on the lumbar region. Gross total tumor removal was achieved. The histopathology report confirmed metastasis mucinous adenocarcinoma. The symptoms were improved postoperatively. Lumbar spine MRI postoperative show the tumor was removed completely.

Conclusion

The goals of surgery of intradural extramedullary spinal metastasis with unknown primary tumor site are tumor removal as much as possible, spinal cord and nerve root decompression, getting a definite diagnosis of tumor, and accepting quality of life.

Author(s):

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