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Sudden onset paraplegia
  1. Adomas Bunevicius,
  2. Arimantas Tamasauskas,
  3. Kazys Ambrozaitis
  1. Department of Neurosurgery, Lithuanian University of Health Sciences, Kaunas, Lithuania
  1. Correspondence to Dr Adomas Bunevicius, Department of Neurosurgery, Lithuanian University of Health Sciences, Kaunas, LT-50009, Lithuania; adomas.bunevicius{at}lsmuni.lt

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Clinical introduction

A 75-year-old man presented with acute onset thoracic back pain, progressive leg weakness with numbness and urinary retention. His symptoms started suddenly and progressed overnight. He denied a recent history of trauma. On neurological examination he had complete loss of all sensations below Th10 level and leg paraplegia (American Spinal Injury Association grade A myelitis). Admission lateral spine X-ray and non-contrast CT were performed (figures 1 and 2).

Figure 1

Lateral X-ray demonstrating compression fracture of Th12.

Figure 2

Non-contrast CT with sagittal view showing burst compression fracture of Th12 with osteosclerosis and remodelling …

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