Atypical Presentation of Spinal Plasmacytoma with Posterior Epidural Mass and Acute Neurological Deficit
Vol 06 Issue 1 | January 2025 | page: 40-42 | Rishab Kafley, Piyush Sharma, Siddharth S Sethy
DOI: https://doi.org/10.13107/ojot.2025.v06.i01.78
Received 11/06/2024; Reviewed 07/07/2024; Accepted 04/12/2024; Published 10/01/2025
Authors: Rishab Kafley [1], Piyush Sharma [1], Siddharth S Sethy [1]
[1] Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Address of Correspondence
Dr. Siddharth S Sethy,
Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Email:
Abstract
Solitary plasmacytoma of bone most commonly involves the vertebral body, often resulting in structural collapse and anterior spinal cord compression. Presentation as a posterior epidural mass without associated vertebral body destruction is exceedingly rare and poses a significant diagnostic challenge. We report a case of thoracic posterior epidural plasmacytoma presenting with acute paraplegia in a 61-year-old man. Magnetic resonance imaging revealed a dorsal epidural mass causing severe spinal cord compression in the absence of osseous involvement. The patient underwent urgent surgical decompression and spinal stabilization, followed by oncologic evaluation. This case highlights an uncommon manifestation of plasma cell dyscrasia with posterior element involvement.
Keywords: Plasmacytoma, Paraplegia, Spinal cord, Epidural, Decompression.
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| How to Cite this Article: Kafley R, Sharma P, Sethy SS. Atypical Presentation of Spinal Plasmacytoma with Posterior Epidural Mass and Acute Neurological Deficit. The Odisha Journal of Orthopaedics and Trauma. January 2025; 06;01:40-42. https://doi.org/10.13107/ojot.2025.v06.i01.78 |
