Acute paraplegia with the rosary shape tumor of cauda equina in von recklinghausen disease. A case report.

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A 43-year-old housewife with a month history of paraplegia is presented. She had complained of lumbago for about two years and noticed voiding disturbance on the eighth of June 1986. She could not stand for 20 days after this disturbance and then one day suffered complete urinary stoppage. She was admitted to our hospital on the tenth of July. Myelography and CT scan were performed and showed multiple intradural tumors at the levels of Th11 to L3. Skin tumors was also found. The investigation of the CFS showed albumino cytologic dissociation. A laminectomy of Th11-L2 and resection of the intradural tumors of the cauda equina was performed on the 18th of July 1986. The tumors were rosary shape and linked one to another, in the cauda equina, which was sacrificed for the sake of tumor extirpation. Histologically, there was a discrepancy between the cauda equina tumors and one skin tumor. The skin tumor was neurofibroma, whereas the cauda equina tumor was neurilemmoma. Von Recklinghausen Disease was diagnosed. However, after a month she showed good recovery and is now able to lead an ordinary life.
西日本整形・災害外科学会の論文