Korean J Spine.  2013 Dec;10(4):252-254. 10.14245/kjs.2013.10.4.252.

Lumbar Spinal Chondroma Presenting with Acute Sciatica

• Kim DH
• Nam KH
• Choi BK
• Han I

• KMID: 1916608
• DOI: http://doi.org/10.14245/kjs.2013.10.4.252

Abstract

A 47-year-old woman visited with lumbago and severe left leg pain that had been presented for 1 week. The patient complained of severe radiating pain on left L3 sensory dermatome area and reported aggravation of leg pain at 20 degrees of hip flexion by straight leg raising test (SLRT). However, there was no motor weakness on neurological examination. Magnetic resonance imaging (MRI) demonstrated contrast enhancing spinal extradural mass at L2-3 level that was iso-signal intensity (SI) on T1-weighted images (WI), hypo-SI on T2WI. She was not able to walk and sleep due to incapacitating pain. Thus, surgical removal was performed via left partial laminectomy. Postoperatively, the radiating pain was relieved completely. Histopathologic examination revealed that the tumor consisted of chondroma, which had mature hyaline cartilage with nests of benign-appearing cells and calcium deposits in lacunae.

Keyword

Chondroma; Lumbar spine; Sciatica

MeSH Terms

Calcium
Chondroma*
Female
Hip
Humans
Hyaline Cartilage
Laminectomy
Leg
Low Back Pain
Magnetic Resonance Imaging
Middle Aged
Neurologic Examination
Sciatica*
Calcium