[Cauda syndrome due to spinal stenosis and diskytis in two different spinal levels. Diagnosis using myelo-TC].
We report a case of a 75 year old man presenting with paraparesis, urinary incontinence and saddle anesthesia evolving after several months and severe lumbalgia and bad general status which developed fewdays before admission. CT-scan showed spondilosis with lytic lesion at L5-S1 level. MR1 was not performed because the patient had a pacemaker. A myelo-CT study was performed showing a complete stop at L4-L5 level together with L5-S1 diskytis. Laminectomy of L5 and discectomy L5-S1 was performed obtaining tissue sample diagnostic of diskytis and osteomyelitis. Our patient had two lesions at two different levels with two independent syndromic appearence. Myelo-CT played an important diagnostic role in this case because MRI study could not be obtained.
Prat
R
R
Servicio de Neurocirugía. Hospital Universitario de Canarias. Spain.
Galeano
I
I
Conde
F J
FJ
Febles
P
P
Cortés
S
S
González-Feria
L
L
D000368:Aged; D015299:Discitis / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D011128:Polyradiculopathy / Q000000981:diagnostic imaging / Q000209:etiology*; D012447:Sacrum; D013130:Spinal Stenosis / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed