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Case Rep Neurol. 2012 May;4(2):97-100. doi: 10.1159/000339445. Epub 2012 Jun 7.

Sensory Loss Mimicking Cauda Equina Syndrome due to Cervical Spinal Lesion in a Patient with Clinically Isolated Syndrome.

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Department of Neuroscience, University of Modena and Reggio Emilia, S. Agostino-Estense Hospital, Modena, Italy.


We describe the case of a 39-year-old woman with signs and symptoms suggesting cauda equina syndrome. Lumbosacral magnetic resonance imaging (MRI) demonstrated no lesion at this level, while cervical MRI showed a T2-hyperintense lesion in the middle-right anterolateral region of the cervical spinal cord, which may explain the symptoms by involving the anterior spinothalamic tract. We suggest that in cases with cauda equina syndrome presentation and normal lumbosacral MRI, a cervicodorsal lesion should be considered during diagnostic assessment.


Cauda equina syndrome; Magnetic resonance imaging; Polyradiculopathy; Spinal diseases

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