title: [Cauda syndrome due to spinal stenosis and diskytis in two different spinal levels. Diagnosis using myelo-TC].
abstract: 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.
authors.affiliation: Servicio de Neurocirugía. Hospital Universitario de Canarias. Spain.
authors.forename: R
authors.initials: R
authors.lastname: Prat
authors.forename: I
authors.initials: I
authors.lastname: Galeano
authors.forename: F J
authors.initials: FJ
authors.lastname: Conde
authors.forename: P
authors.initials: P
authors.lastname: Febles
authors.forename: S
authors.initials: S
authors.lastname: Cortés
authors.forename: L
authors.initials: L
authors.lastname: González-Feria
mesh_terms: 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