Cauda equina syndrome due to primary extraskeletal Ewing’s sarcoma: a diagnostic challenge

Authors

  • Rumana Habib Associate Professor, Department of Neurology, BIRDEM General Hospital, Dhaka, Bangladesh.
  • Dilruba Alam Assistant Professor, Department of Neurology, BIRDEM General Hospital, Dhaka, Bangladesh.
  • Mehruba Alam Resident Medical Officer, Department of Neurology, BIRDEM General Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/birdem.v14i2.73327

Keywords:

Ewing’s sarcoma, cauda equina syndrome

Abstract

Ewing’s sarcoma causing cauda equina syndrome is a rare entity. We report case history of a 20-year-old man who presented with features of cauda equine syndrome preceded by 4-month history of pain in the buttock and tip of the coccyx. Magnetic resonance imaging revealed a lesion within the spinal canal at S1–5 level and a large lobulated heterogeneously enhancing mass lesion in pelvic cavity in sacral region. Excisional biopsy revealed Ewing’s sarcoma by characteristic features on histologic analysis and immunohistochemistry. Patient was referred to oncologist for combined chemotherapy with radiotherapy.

BIRDEM Med J 2024; 14(2): 99-102

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Published

2024-05-28

How to Cite

Habib, R. ., Dilruba Alam, & Mehruba Alam. (2024). Cauda equina syndrome due to primary extraskeletal Ewing’s sarcoma: a diagnostic challenge. BIRDEM Medical Journal, 14(2), 99–102. https://doi.org/10.3329/birdem.v14i2.73327

Issue

Vol. 14 No. 2 (2024)

Section

Case Reports