title: Paraplegia: an unusual presentation of Ewing's sarcoma.
abstract: METHODS
  Single-subject case.
  
  
  OBJECTIVE
  To describe the atypical presentation of a rare tumor and difficulties in diagnosis.
  
  
  METHODS
  Spinal cord unit of a rehabilitation and care center in Ankara, Turkey.
  
  
  METHODS
  A 22-year-old male patient with paraplegia was admitted to our center for rehabilitation. He underwent various diagnostic procedures to explain his clinical situation.
  
  
  RESULTS
  Abdominal ultrasound and computed tomography revealed a mass and vertebral destruction. The pathology report confirmed the diagnosis of Ewing's sarcoma.
  
  
  CONCLUSIONS
  Spinal cord compression is an important complication of primary or metastatic malignant tumors. Although it is a late complication in most cases, some tumors including Ewing's sarcoma may present with paraplegia. Trauma may be found in the patient's history. An atypical clinical course in a musculoskeletal or neurological condition should alert us to a possible underlying malignant disease.
authors.affiliation: Turkish Armed Forces Rehabilitation and Care Center, Gulhane Military Medical Academy, Ankara/Turkey.
authors.forename: A S
authors.initials: AS
authors.lastname: Goktepe
authors.forename: R
authors.initials: R
authors.lastname: Alaca
authors.forename: H
authors.initials: H
authors.lastname: Mohur
authors.forename: U
authors.initials: U
authors.lastname: Coskun
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010264:Paraplegia / Q000209:etiology*; D012512:Sarcoma, Ewing / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography