An Unusual Case of Cauda Equina Secondary to Spinal Metastasis of Thyroid Cancer

Authors

  • Mohammad Adeel Department of Otorhinolaryngology, Head and Neck Surgery, Aga Khan University Hospital, Karachi, Pakistan.
  • Shabbir Akhtar Department of Otorhinolaryngology, Head and Neck Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Abstract:

Introduction: Cauda equina secondary to metastatic follicular thyroid cancer of the lumbosacral area is a rare entity.   Case Report: We report an unusual case of a 52-year-old male who presented with backache, lower limb weakness, and perianal numbness. A CT-scan of the lumbosacral area showed an enhancing mass at the L4, L5 and S1 vertebrae. Histopathology after excision revealed a metastatic thyroid cancer. Hence, a CT scan of the neck and chest was performed which showed a nodule in the left lobe of the thyroid and a mass in the left chest wall. A total thyroidectomy and excision of the chest wall lesion was undergone, which was diagnosed as a follicular carcinoma of the thyroid.   Conclusion:  Metastatic workup of spinal metastasis should include evaluation of the thyroid gland.

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Journal title

volume 28  issue 1

pages  67- 71

publication date 2016-01-01

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