No abstract

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes ABSTRACTExtramedullary manifestations of acute leukemia include a wide variety of clinically presentation that often pose difficulty in diagnosis and treatment of myeloid sarcoma. We present a case of a five-yearold boy with initial complaints of radicular pain of both lower limbs and urinary retention. On MRI, compression by epidural mass was identified, which was shown to be an extramedullary myeloid sarcoma diagnosed on the basis of Auer rods containing blasts in peripheral blood smear and bone marrow. Diagnosis was confirmed with flow cytometry and induction chemotherapy was started.Initial neurological presentation of paraplegia due to chloroma is extremely rare in myeloid leukemia with very few case reports published earlier.(This page in not part of the published article.) We present a case of a five-year-old boy with initial complaints of radicular pain of both lower limbs and urinary retention. On MRI, compression by epidural mass was identified, which was shown to be an extramedullary myeloid sarcoma diagnosed on the basis of Auer rods containing blasts in peripheral blood smear and bone marrow. Diagnosis was confirmed with flow cytometry and induction chemotherapy was started. Initial neurological presentation of paraplegia due to chloroma is extremely rare in myeloid leukemia with very few case reports published earlier.