Case presentation A 40-year-old female presented to the hospital with a history of lower back pain for two years that had radiated to the legs. The pain aggravated on bending or walking and improved in a sitting position.
The patient reported being unable to lie on the back and sleeping in the sitting position. Medical history No significant medical or trauma history Physical examination Weakness of the lower extremities Mild urination difficulty No signs of paresthesia or sensory disorder in the legs Lasegue sign: Positive at 50° on the right leg and 70° on the left leg Schober test : 12/10 cm Neri’s sign: Positive Diagnostic tests Lumbar spinal MRI revealed an intradural-extramedullary mass (Cover image) o Dimension: 72 × 21 × 18 mm o Well-defined border o Location: Posterior and left of the spinal canal o Left deviation of the mass o Compressed cauda equina at the T12-L2…