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Migrating tumour of the cauda equina
  1. Sam Stuart,
  2. Brynmor Jones,
  3. Huma Sethi,
  4. Indran Davagnanam
  1. National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
  1. Correspondence to Dr Indran Davagnanam, National Hospital for Neurology and Neurosurgery, 8-11 Queen Square, 3rd Floor, Consultant Offices, London WC1N 3BG, UK; indran_davagnanam{at}

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A young patient with no significant past medical history presented with a 2 month history of worsening lower back pain radiating to both lower limbs. Findings on neurological examination were of decreased power in both lower limbs to 4/5. Magnetic resonance imaging (MRI) demonstrated a 3 cm well circumscribed homogenously enhancing intradural lesion at the level of the L4 vertebral body causing displacement of the surrounding caudal nerve roots (figure 1).

Figure 1

(A) T2 and (B) post-gadolinium T1 weighted sagittal images from the …

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