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Year : 2013  |  Volume : 2  |  Issue : 1  |  Page : 70-72

A rare cause of Cauda equina syndrome: Epidural high grade primary non-Hodgkin lymphoma

Department of Orthopaedics, King Edward VII Memorial Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Ambarish A Mathesul
Department of Orthopaedics, 6th Floor, Muti Storey Building, King Edward Memorial VII Hospital, Parel, Mumbai-12, Maharashtra
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Source of Support: None, Conflict of Interest: None

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Cauda equina syndrome (CES) may be caused by herniated disc, tumor, trauma, and spinal infections. However, CES due to epidural high-grade non-Hodgkin lymphoma (NHL) is very rare. Up to our knowledge, few cases have been reported in the literature. We report a case of epidural high-grade NHL presenting as CES. A 55-year-old man presented with CES caused by extradural compression by primary NHL. The patient underwent an L4-L5 laminectomy. The operative findings were suggestive of well-demarcated epidural tumor. The final histopathological diagnosis revealed epidural high-grade NHL. NHL causing CES is rare. This report highlights the importance of keeping afresh the various causes of CES for prompt diagnosis and management.

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