Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 4, Number 9, September 2013, pages 602-604

Unrelenting Lower Back Pain in an Uncontrolled Diabetic Patient With an Uncommon Diagnosis

Figures

Figure 1.
Figure 1. MRI T2 coronal view of lumbar spine: abnormal T2 hyperintensity and faint enhancement of L4-L5 intervertebral disc, with bone marrow edema seen within L4-L5 contiguous endplates and 3 mm anterior epidural fluid collection posterior to L4-5 intervertebral disc. The findings are consistent with L4-L5 infectious spondylodiscitis.
Figure 2.
Figure 2. MRI T2 sagittal view of lumbar spine: abnormal diffuse leptomeningeal enhancement is identified along the distal spinal cord, conus medullaris, and entire cauda equine which is indicative of infectious arachnoiditis involving the lower thoracic and entire lumbosacral segments.