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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:1188-1196 April 15, 1999 Number 15
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Case 11-1999— A 60-Year-Old Woman with Epidural and Paraspinal Masses
Arnold S. Freedman, and G. Petur Nielsen

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Presentation of Case

A 60-year-old woman was admitted to the hospital because of lumbar pain and incontinence of the bladder and bowel.

She had a 20-year history of low back pain with radiation to the buttocks and anterior thighs, for which she took nonsteroidal antiinflammatory drugs. Three months before admission, she had a bout of back pain that persisted. One month before admission, the patient entered another hospital because for several weeks she had had bladder and bowel incontinence, leg weakness, and severe pain in the thighs on attempting to stand.

A computed tomographic (CT) scan of the lumbar spine (Figure 1. . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Arnold S. Freedman's Diagnoses

Pathological Discussion

Anatomical Diagnoses

Addendum

References


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