A case report of extramedullary haematopoeisis in lumbosacral region presenting as cauda equina syndrome

Abstract

IntroductionExtramedullary hematopoeisis (EMH) is defined as formation of blood cells outside the bone marrow. It occurs most commonly in the liver and spleen in patients having disorders that lead to chronic anaemia. EMH in spinal canal is a very rare site and cauda equina syndrome due to EMH has very few cases presented in literature.

A patient with Beta thalassaemia major presenting with cauda equine syndrome due to extramedullary haematopoiesis

“…According to published data, both transfusion and hydroxyurea therapy have a role in the prevention and management of paraspinal involvement with extramedullary haematopoiesis [4]. Surgical decompression also plays a role depending on the clinical severity [5].…”