A case report of an uncommon cause of Cauda Equina symptoms

Martin Timchur, Peter McCarthy, Annabel Kier

Research output: Contribution to journalArticlepeer-review


Objective This case report discusses a patient who presented with right-sided buttock pain of apparently uncomplicated mechanical origin that was eventually diagnosed as a primary Ewing sarcoma/primitive neuroectodermal tumor of the sacrum. Clinical Features A 32-year-old male full-time student presented for care with right-sided buttock pain. Intervention and Outcome After examination, the patient was referred to his general practitioner for urgent magnetic resonance imaging, the report revealed no explanation for the presenting symptoms. After further imaging and biopsy, an eventual diagnosis of Ewing sarcoma/primitive neuroectodermal tumor was reached. The patient died 12 months later. Conclusion This case highlights a nondiscal cause for cauda equina symptoms. It emphasizes potential diagnostic complexities that may present due to preconceptions based upon the probability of symptoms being related to a specific disease process.
Original languageEnglish
Pages (from-to)459 - 465
Number of pages6
JournalJournal of Manipulative and Physiological Therapeutics
Issue number6
Publication statusPublished - 1 Jul 2007


  • chiropractic
  • sarcoma
  • ewing
  • neuroectodermal tumors
  • primitive
  • peripheral
  • urinary bladder
  • neurogenic
  • cauda equina


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