Lumbo-Sciatica as the Initial Presentation of Acute Lymphoblastic Leukemia
|Hicham El Maaroufi*, Kamal Doghmi and Mohammed Mikdame|
|Department of Clinical Hematology, Mohammed V. Military Hospital, University of Mohammed V-SOUISSI, Rabat, Morocco|
|Corresponding Author :||Hicham El Maaroufi
Appartement 2, Immeuble 2
Résidence les Acacias, Oueled Mtaa
12000 Témara, Morocco
E-mail: [email protected]
|Received February 27, 2012; Accepted April 06, 2012; Published April 10, 2012|
|Citation: Maaroufi HE, Doghmi K, Mikdame M (2012) Lumbo-Sciatica as the Initial Presentation of Acute Lymphoblastic Leukemia. J Spine 1:114. doi:10.4172/2165-7939.1000114|
|Copyright: © 2012 Maaroufi HE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
A 39-year-old man presented with lumbo-sciatica. C-Scan shows an aspect of herniated disc at the L5 level. He underwent emergent laminectomy and a tumor was found and biopsy made. The initial histological diagnosis was malignant lymphoma. Magnetic Resonance Imaging (MRI) revealed a lumbar epidural mass at the level of L5 and the sacral vertebrae. The correct diagnosis of epidural lymphoblastic mass and Acute Lymphoblastic Leukemia (ALL) was established based on a study of the bone marrow cells. Treatment by chemotherapy has been established.
Leukemic mass must be considered in the differential diagnosis of spinal epidural mass, even in patients with ALL.