An Unusual Case of Cauda Equina Secondary to Spinal Metastasis of Thyroid Cancer

Abstract

<strong><em>Introduction</em></strong><strong><em>:</em></strong> Cauda equina secondary to metastatic follicular thyroid cancer of the lumbosacral area is a rare entity. <strong><em> </em></strong> <strong><em>Case Report:</em></strong> We report an unusual case of a 52-year-old male who presented with backache, lower limb weakness, and perianal numbness. A CT-scan of the lumbosacral area showed an enhancing mass at the L4, L5 and S1 vertebrae. Histopathology after excision revealed a metastatic thyroid cancer. Hence, a CT scan of the neck and chest was performed which showed a nodule in the left lobe of the thyroid and a mass in the left chest wall. A total thyroidectomy and excision of the chest wall lesion was undergone, which was diagnosed as a follicular carcinoma of the thyroid. <strong><em> </em></strong> <strong><em>Conclusion:</em></strong><em> </em> Metastatic workup of spinal metastasis should include evaluation of the thyroid gland.