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CASE REPORT
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Acute paraplegia revealing a hemorrhagic cauda equina paraganglioma


1 Department of Neurosurgery, Medicine School of Tunis, National Institute of Neurology, University of Tunis-El Manar, Tunis, Tunisia
2 Department of Anatomic Pathology, Rabta Hospital, Medicine School of Tunis, University of Tunis-El Manar, Tunis, Tunisia

Correspondence Address:
Nidhal Matar,
Department of Neurosurgery, Medicine School of Tunis, National Institute of Neurology, University of Tunis-El Manar, Jebal Lakhdar street, La Rabta 1007, Tunis
Tunisia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_206_17

Cauda equina paragangliomas are rare neuroendocrine benign and slow-growing tumors. Acute paraplegia, occurring because of sudden intratumoral hemorrhage, represents an extremely rare clinical picture of this disease. We report the case of a 64-year-old male presenting with a 5-day acute lower back pain, sciatica, and leg weakness. Spinal imaging showed an intradural mass of the cauda equina region and an emergent surgical treatment was achieved. The lesion was removed “en bloc,” and subarachnoid blood was noticed during surgery. The postoperative course was uneventful, with complete regression of pain and progressive motor recovery. The histological study revealed typical microscopic and immunohistochemical features of paragangliomas.


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