Solitary bone plasmacytoma compression injury disguised as back pain: a case report

Introduction Low back pain is a leading disability worldwide; however, it is not often the result of a serious underlying condition such as a tumor. As a result, diagnosis of a serious underlying cause of low back pain may be delayed, such as in this case. Case presentation We describe a case of a m...

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Bibliographic Details
Published in:Spinal cord series and cases 2019-02, Vol.5 (1), p.16, Article 16
Main Authors: Jackson, Steven D., Wiering, Bethany A., Herrmann, Amanda A., Hinz, MacKenna A., Hanson, Leah R.
Format: Article
Language:English
Subjects:
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Anatomy
Back pain
Back Pain - diagnosis
Biomedical and Life Sciences
Biomedicine
Case Report
Case reports
Chiropractic medicine
Human Physiology
Humans
Laminectomy
Magnetic Resonance Imaging
Male
Neck pain
Neurochemistry
Neuropsychology
Neurosciences
Nonsteroidal anti-inflammatory drugs
Paralysis
Plasmacytoma - complications
Plasmacytoma - diagnosis
Plasmacytoma - surgery
Primary care
Rehabilitation
Spinal cord
Spinal Cord Compression - diagnosis
Spinal Cord Compression - etiology
Spinal Cord Compression - rehabilitation
Spinal Neoplasms - complications
Spinal Neoplasms - diagnosis
Spinal Neoplasms - surgery
Thoracic Vertebrae - diagnostic imaging
Thoracic Vertebrae - surgery
Tumors
Urine
Vertebrae
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Summary:Introduction Low back pain is a leading disability worldwide; however, it is not often the result of a serious underlying condition such as a tumor. As a result, diagnosis of a serious underlying cause of low back pain may be delayed, such as in this case. Case presentation We describe a case of a man presenting with low back pain, who was eventually diagnosed with solitary bone plasmacytoma (SBP) causing spinal cord compression from approximately T7–T9. The patient was classified as T8 ASIA C–Incomplete Paraplegia. He underwent an emergency T7–T9 open posterior laminectomy and resection of the epidural mass/tumor. Following an intensive course of rehabilitation treatment, the patient progressed to ASIA D. Discussion Although SBP of the spine is rare, back or neck pain is a common initial presentation. This case is unique in that we provide a detailed description of both medical and rehabilitation diagnosis and treatment. We also suggest that persistent back pain warrants complete MRI spinal imaging to provide proper diagnosis and prompt treatment for cases with a serious underlying condition.
ISSN:2058-6124
2058-6124
DOI:10.1038/s41394-019-0161-4