An unusual manifestation of Paget's disease of bone: spinal epidural hematoma presenting as acute cauda equina syndrome.
case_report · Level V
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Abstract
Neurologic sequelae of Paget's disease of bone include involvement of the spinal cord or cauda equina due to mechanical compression by enlarged vertebrae, ischemia caused by a spinal artery, steal syndrome or neoplasm. We describe a patient with Paget's disease of bone who presented with acute cauda equina syndrome due to a spinal epidural hematoma. Clinicians need to recognize this entity since surgical intervention may result in a favorable outcome.
Medical subject headings
- Cauda Equina
- Hematoma, Epidural, Cranial
- Nerve Compression Syndromes
- Osteitis Deformans
- Spinal Neoplasms