Rammos Dimosthenis, Chrysikos Dimosthenis, Giavopoulos Panagiotis, Alexiadis Iordanis, Theodoropoulos Spyridon
General Surgery, General Hospital of Piraeus "Tzaneio", Piraeus, GRC.
Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, GRC.
Cureus. 2022 May 24;14(5):e25308. doi: 10.7759/cureus.25308. eCollection 2022 May.
In this case report, we present a unique cause of coccygodynia due to an intradural lumbar spinal tumour in a patient with multiple filum terminale paragangliomas. We highlight the symptomatology, the clinical course, and the radiological findings. Our review of the literature proved our case to be the first report of an intradural cauda equina tumour presenting with coccygodynia in English literature. Based on the outcome and clinical response to treatment we make a bold hypothesis on the possible anatomical mechanism of his coccygodynia.
在本病例报告中，我们介绍了一名患有多个终丝副神经节瘤的患者因硬膜内腰椎脊髓肿瘤导致尾骨痛的独特病因。我们重点介绍了症状、临床病程及影像学检查结果。我们对文献的回顾证实，本病例是英文文献中首例报告的以尾骨痛为表现的硬膜内马尾神经肿瘤。基于治疗结果和临床反应，我们对其尾骨痛可能的解剖学机制提出了大胆的假设。
