Aman Agarwal, Rohin Bhatia
28 years old male patient, reported in the Neurosurgery OPD of Mahatma Gandhi National Institute of Medical Sciences (MGM Hospital), Jaipur, Rajasthan. His chief complaint was lower back pain. He also complained of weakness in lower limbs bilaterally with difficulty in walking. Magnetic Resonance Imaging performed to know the underlying cause followed by histopathology findings for the final diagnosis. MRI revealed mass extending from L4 to S3. Clinical manifestations in case of Extradural Ewing’s Sarcoma, comprise mainly of back pain with or without radicular pain, paresis of one or both legs, sensory disturbances, and bladder and bowel dysfunction.1, 2 In our case, on physical examination we found decreased muscle power and numbness of lower extremities was clearly identified. The neurological examination revealed absence of ankle jerk bilaterally, Straight leg Raising Test bilaterally showed 40 degrees and also showed reduced motor power of the Extensor Hallucis Longus (EHL) bilaterally to grade 3/5. The patient showed neurological deficit without bladder and bowel dysfunction.
