[What is your diagnosis? Aneurysm of the abdominal aorta destroying the lumbar spine].
A 58 year old woman suffering from lumbalgia over 3 years is admitted for bilateral cruralgia. Ten years before, she was treated for cervix carcinoma by hysterectomy, pelvic and lumbo-aortic radiotherapy and chemotherapy. On admission, physical examination reveals L2 level hypoesthesia and abolition of deep tendon reflexes. Plain films and CT scan show a lysis of L3, L4 and L5 vertebral bodies and a cuneiform appearance of vertebral body of L2 due to a large abdominal aortic aneurysm.
Nagi
S
S
Service de Neuroradiologie, Centre Hospitalier Sainte-Anne, Paris.
Taright
N
N
Meder
J F
JF
Vanel
D
D
Fredy
D
D
D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000209:etiology; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
Quel est votre diagnostic?