title: [What is your diagnosis? Aneurysm of the abdominal aorta destroying the lumbar spine].
abstract: 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.
authors.affiliation: Service de Neuroradiologie, Centre Hospitalier Sainte-Anne, Paris.
authors.forename: S
authors.initials: S
authors.lastname: Nagi
authors.forename: N
authors.initials: N
authors.lastname: Taright
authors.forename: J F
authors.initials: JF
authors.lastname: Meder
authors.forename: D
authors.initials: D
authors.lastname: Vanel
authors.forename: D
authors.initials: D
authors.lastname: Fredy
mesh_terms: 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
vernacular_title: Quel est votre diagnostic?