Abstract
We report the case of a 16-year-old boy with a pelvic tumor who developed signs of spinal cord compression following placement of a lumbar epidural catheter to obtain a percutaneous biopsy. The fact that a catheter had been inserted led us to suspect epidural hematoma as a complication, but surgery revealed that the pelvic tumor had spread to the lumbar epidural space and was causing motor blockade of both legs.
MeSH terms
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Adolescent
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Analgesia, Epidural / adverse effects*
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Biopsy
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Combined Modality Therapy
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Cyclophosphamide / administration & dosage
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Diagnosis, Differential
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Doxorubicin / administration & dosage
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Hematoma, Epidural, Spinal / diagnosis
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Hematoma, Epidural, Spinal / etiology
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Hematoma, Epidural, Spinal / surgery
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Humans
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Laminectomy
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Lumbar Vertebrae / diagnostic imaging
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Lumbar Vertebrae / pathology*
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Lumbar Vertebrae / surgery
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Magnetic Resonance Imaging
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Male
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Neoplasm Invasiveness
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Paraplegia / etiology
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Pelvic Neoplasms / complications*
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Pelvic Neoplasms / diagnostic imaging
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Pelvic Neoplasms / drug therapy
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Pelvic Neoplasms / surgery
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Rhabdomyosarcoma, Embryonal / complications
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Rhabdomyosarcoma, Embryonal / diagnosis
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Rhabdomyosarcoma, Embryonal / drug therapy
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Rhabdomyosarcoma, Embryonal / secondary*
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Rhabdomyosarcoma, Embryonal / surgery
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Spinal Cord Compression / diagnosis
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Spinal Cord Compression / etiology*
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Spinal Neoplasms / complications
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Spinal Neoplasms / diagnosis
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Spinal Neoplasms / drug therapy
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Spinal Neoplasms / secondary*
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Spinal Neoplasms / surgery
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Tomography, X-Ray Computed
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Vincristine / administration & dosage
Substances
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Vincristine
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Doxorubicin
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Cyclophosphamide