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Primary Lumbo-sacral Spinal Epidural Non-Hodgkin’s Lymphoma: A Case Report and Review of Literature

We present a case of 24-year-old male presented with low back pain radiating to the left lower limb, tingling numbness and weakness of 6 months duration. Magnetic resonance imaging scan with contrast reveals an extradural mass at lumbosacral region. Patient was operated with laminectomy and complete excision of the lesion was done. Patient’s radicular pain relieved following the surgery and weakness also improved. Histopathology was suggestive of non-Hodgkin’s lymphoma. Patient received chemotherapy which was followed by radiotherapy. Primary Non-Hodgkin’s lymphoma of the lumbosacral spinal epidural tissue is an uncommon lesion. Lymphoma involves the central nervous system in 5-11% of cases either at presentation of the disease or during its course. The spinal epidural tissue is involved primarily in 0.1-3.3% of cases with spinal cord compression being the commonest presentation. Excision of the lesion followed by chemotherapy and radiotherapy is required to achieve cure

Keywords : Back,Back Pain,Central Nervous System,Hospitals,India,Laminectomy,Low Back Pain,Lumbosacral Region,Lymphoma,Magnetic Resonance Imaging,Male,Nervous System,Neurosurgery,Pain,radiotherapy,Spinal Cord,Spinal Cord Compression,surgery,, Lumbosacral,Spinal,Epidural,Nonhodgkin’s,Lymphoma, electronic nerve stimulator

Date of Publication : 2011 Sep

Authors : Mally R;Sharma M;Khan S;Velho V;

Organisation : Department of Neurosurgery, Sir J. J. Group of Hospitals, Grant Medical College, Mumbai, Maharashtra, India

Journal of Publication : Asian Spine J

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21892393

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