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Positron emission tomography can be of important adjunct Finally, lessons must be drawn from the present case and
in detecting multiple or silent lesions, with the tumor future challenges should be taken into consideration:
appearing as areas of intense hypermetabolic activity. [8] primary diffuse BCL can localize in the lumbar spine of
young female patients and manifest with cauda equina
In the present case, plain radiograph and emergency syndrome; radical surgery under these considerations
MRI were of little help for diagnostic orientation as can result in total recovery even after flaccid paraplegia;
tumor features were unspecific. Our attitude was early identification is of paramount importance and
consequently more hampered by the emergency than long-term follow-up is mandatory to spot recurrences
by the tumor nature or radiological features. early.

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administration will not be possible without irradiating Source of Support: Nil. Conflict of Interest: No.
an already suffering conus medullaris. Received: 10-10-2014; Accepted: 04-12-2014

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