Abstract
A sixteen year old girl presented with a four year history of hip pain followed subsequently by back pain radiating down her left leg, progressive urgency of micturition, urinary incontinence, a feeling of bladder fullness and incomplete bladder emptying, faecal impaction and finally, numbness in both of her buttocks. A diagnosis of Cauda Equina Syndrome was suspected on the history and the clinical examination. A plain X-ray of her lumbar spine revealed evidence of a slow growing mass within the vertebral canal at the level of L3. A Magnetic Resonance Imaging (MRI) scan confirmed an intradural space occupying lesion at the same level. This lesion was surgically removed and histological examination revealed a benign epidermoid cyst.
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O’Brien, D.P., Singh, J. & Dias, P.S. Spinal epidermoid cyst and cauda equina syndrome in a teenage girl. I.J.M.S. 161, 675–678 (1992). https://doi.org/10.1007/BF02942381
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DOI: https://doi.org/10.1007/BF02942381