XXXX near the conus medullaris with lumbar nerve root attachment: case report.

@entity1 @entity424 @entity1494 @entity174 @entity5 @entity29580 @entity51 @entity158 @entity4097
BACKGROUND AND IMPORTANCE: @entity424 are the most common primary @entity4097 , most frequently located near the cauda equina and conus medullaris. We believe that this is the first reported case of a low-grade, nonmyxopapillary (World Health Organization grade 2), intradural, extramedullary @entity424 involving a spinal nerve root. CLINICAL PRESENTATION: An 87-year-old @entity1 presented with a chief complaint of acute onset of severe right hip and lateral thigh @entity158 . She had baseline chronic @entity1494 , which remained unchanged. Her physical examination was significant for 4/5 strength in her right hip flexion (possibly related to @entity158 ), and 5 beats of clonus bilaterally. She had no point tenderness at the level of her compression @entity174 . Computed tomography of the @entity1 's lumbar spine revealed a well-corticated, chronic compression @entity174 of the L3 vertebral body. Magnetic resonance images demonstrated an ovoid-shaped, 1.5 1-cm, well-circumscribed, intradural, extramedullary lesion at the conus medullaris. The @entity1 underwent an @entity29580 laminectomy with intradural resection of the mass, which was found to be intricately involved with a single nerve root. The nerve root was coagulated and sectioned, and a gross total resection of the @entity5 was achieved. CONCLUSION: The @entity1 tolerated the procedure well, with no complications or any postoperative @entity51 . Her right-sided @entity158 immediately resolved after surgery. Her strength and ambulation were normal after surgery. No adjuvant radiotherapy was offered to the @entity1 . This case illustrates a unique @entity5 presentation and the successful surgical treatment of the condition.
