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Lumbo-Sciatica as the Initial Presentation of Acute Lymphoblastic Leukemia | OMICS International | Abstract
ISSN: 2165-7939

Journal of Spine
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Case Report

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.

Abstract

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.

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