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A 26-year-old man with beta-thalassaemia major presented the day after a fall with lower limb paraesthesia, genital numbness, urinary retention, constipation and erectile dysfunction, but no low back pain. On examination, he had tactile hypoaesthesia on the back of the left thigh and leg and an absent left Achilles tendon reflex. There was hepatosplenomegaly but no lymphadenopathy. MR scan of the spinal cord showed a T2 hyperintense and T1 heterogeneous contrast-enhancing soft tissue mass in the presacral region and lumbosacral epidural space, compressing the spinal cord and its roots (figure …
Footnotes
Contributors MESFB, JVCC, MPM, JLP and OGPB: conceptualisation, data curation, formal analysis and writing—original draft preparation, review and editing. MPM acts as a guarantor.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned. Externally peer reviewed by Anthony Pereira, London, UK.
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