RAMAZAN KAHVECİ, Mehmet Fikret ERGÜNGÖR, Ahmet GÜNAYDIN, Atiye TEMIZ

Lumbar solitary osteochondroma presenting with cauda equina syndrome: a case report

Spinal ostekondromalar her ne kadar çeşitli klinik bulgulara neden olabilseler de, soliter lomber osteokondromaların neden oldukları spinal kord ya da sinir kökü kompresyonları nadir klinik durumlardır. Bu çalışmamızda, bel ağrısı, ilerleyici sol bacak parezisi ve her iki alt ekstremitede uyuşukluk ile birlikte üriner inkontinans yakınmaları olan 62 yaşındaki bir kadın hasta sunuyoruz. Hastanın klinik tablosu bize olası kauda ekina sendromunu düşündürdü. Hastanın radyolojik muayenesinde, ikinci lomber vertebranın sol inferior artiküler faseti kaynaklı lezyon saptanması üzerine acil cerrahi dekompresyon yapıldı ve lezyon total olarak çıkarıldı. İyi huylu osteokondroma tanısı histopatolojik muayene ile doğrulandı.

Kauda ekina sendromunun eşlik ettiği lomber soliter osteokondroma: Olgu sunumu

Although spinal osteochondromas can cause various clinical signs, the spinal cord or nerve root compression by solitary lumbar osteochondromas are rare clinical entities. We present a 62-year-old female patient with lower-back pain, progressive left leg paresis, numbness on the both lower extremities and urinary incontinence. The patient’s clinical picture made us suspect the possibility of cauda equina syndrome. Radiological examination revealed a lesion originating from the left inferior articular facet of the second lumbar vertebrae. Urgent surgical decompression was performed and the lesion was removed totally. Histopathological examination confirmed the diagnosis of benign osteochondroma.

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