L3 Metastasis

Contributor:

Dr. Chris Ekong

Case 1

Age: 40

Sex: Female

History: Low back pain, numbness, and weaknes right foot March 1999. No history of malignancy.

Examination:

Showed SLP of 60 degrees on right side and moderate weakness of right plantar-flexion of foot. CT myelogram was done.

Treatment:

An intradural-extramedullary mass was surgically excised. Histology consistent with metastatic carcinoma. Further investigation revealed Ca colon. Had abdominal surgery and radiation.

Progress:

She did very well till June 2000 when she developed very severe back pain.

Treatment 2:

Laminectomy and excision of metastatic intradural extramedullary tumour. Similar to original lesion.

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