Allowing Space For Healing: Atraumatic Back Pain In A Healthy Adolescent

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Allowing Space For Healing: Atraumatic Back Pain In A Healthy Adolescent - Page #3

Lab Studies: ESR/CRP: wnl WBC: wnl Blood culture: wnl Other Studies: Xray hip and lumbar spine: No acute osseous injury. Transitional lumbosacral segment with lumbarization of S1. Scalloping of the posterior aspect of the S1 through S3. Ddx: dural ectasia, neurofibromatosis, cauda equina neoplasm. MRI lumbar spine: Findings are most suggestive of a sacral extradural arachnoid cyst, with reactive scalloping of the posterior aspect of vertebral bodies. There is extension into the right S1-S2, S2-S3, and S3-S4 foramina, resulting in ventral displacement and possible compression of the lower lumbar and sacral cauda equina and the exiting right sacral nerve roots Consultations: Neurosurgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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