![]() ![]() ![]() Full oncological and infectious assessments were performed including tumor markers, which were negative. Her gait could not be assessed because she was unable to walk due to the pain. There were no signs of upper motor neuron lesions. Power in the left lower limb had decreased to grade 4 in the iliopsoas and quadriceps muscles, whereas sensation was intact throughout. Power and sensation in her right lower limb was normal. On palpation of her lower back, there was no tenderness. Hemangioma spine skin#She had no skin changes, obvious deformities, abnormal hair distribution, or temperature change in her back. On examination, the patient looked well and was afebrile, and vital signs were stable. Given her status, she was admitted for investigations and management and provided informed consent. Because the pain persisted and gradually progressed, she presented to the emergency department at our hospital. Besides fatigue, she did not report any history of trauma. She denied having any constitutional symptoms. The patient did not complain of bowel/urinary incontinence or saddle anesthesia. The pain was exacerbated by movement (more with back extension) and was temporarily relieved by analgesics. In fact, the pain progressively began to radiate to both of her lower limbs, accompanied by paresthesia (specifically a burning sensation). Three months after the pain started, the patient gradually became wheelchair bound due to the pain. She did not seek medical care at the time of the onset of her symptoms. A 60-year-old woman with diabetes mellitus, dyslipidemia, and asthma initially presented with pain localized in the lower back region. ![]()
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