SNI Digital Podcast
SUMMARY: Cauda Equina Neuroendocrine tumours (CENETs), previously known as Cauda Equina Paragangliomas (PGLs), are extremely rare vascular tumours of the spine which are mostly benign, slow-growing and well-demarcated from the surrounding structures...We present the case of a man in his 50s with a clinical history of low back pain exacerbated at night and right-sided sciatica with an L4 radicular distribution. Magnetic Resonance Imaging (MRI) of the lumbar spine revealed an intradural mass at the upper level of L4 with strong homogeneous enhancement following gadolinium contrast administration. Conclusions: Though the rarity of these tumours prevents the establishment of strict guidelines for their diagnosis and treatment, reviewing the existing data can provide safe and effective ways of diagnosing and selecting the best treatment options for such patients. Continued reporting of new cases, given the scarcity of information, is of extreme importance to guide evidence-based medicine in the future. Some Audience Reactions - Genuinely interesting write-up of a rare case. Really liked the discussions generated by Professor Walters - Important reminder that these tumours don’t always look like what you expect on imaging. - The point about the 2022 reclassification is well made. A lot of clinicians still call these paragangliomas out of habit.
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