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10-MARCH-2002 AHMAD YOUSEF AL-HORUB 50 YEARS
PLASMOCYTOMA D7 WITH SEVERE EXTRADURAL COMPRESSION.
Anamnesis
The patient
is
a relative to Dr. Hashem Al-Huroob was brought
to Shmaisani hospital with clinical history of
paraparesis lower limbs with hypalgesia at the
level of D6, which progressed over 2 years and
with progressive course.
MRI of the
lumbar spine performed recently showing a
huge mass
involving the D7 vertebra destroying its body
and compressing the spinal cord circumferential
and involving thee lamina and lateral masses.
Laminectomy of the pathologic D7 and the
pathologic lateral masses with bilateral
exposure of the edges of the dura of the spinal
cord . The anterior part of the tumor was
attacked fro both sides until no tumor remnants
were detected. Using Luque rectangle with
sublaminar wires fusion of D6 with D8 was
achieved. The patient
was put in Reverse Trendelenburg position with
Valsalva maneuver and hyperventilation. No CSF
leak. Routine closure of the wound.
Smooth postoperative recovery.
The power of the feet improved.
He was sent to the ward.
Follow Up
The
histopathologic report 11-March-2002 was
plasmocytoma.
The patient
was not seen in the clinic , but be telephone
communication 31-March-2021 with the doctor, the
patient did not perform radiation and he was
doing well and he died 2020 by other causes not
related with his disease.
Comments
The patient
had plasmocytoma , destroying the body and
involving the lamina and lateral masses. Radical
resection is the proper treatment and fixation
is a must.
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