{"id":"227deb13-5a5f-4397-9148-073d71c94f70","slug":"recurrent-solitary-bone-plasmacytoma-a-case-report","title":"Recurrent solitary bone plasmacytoma: A case report","authors":["Rajendra Sakhrekar","Ketan Khurjekar","Shailesh Hadgaonkar","Pramod Bhilare","Parag Sancheti","Ashok Shyam"],"abstract":"Background: Plasmacytoma is an hematological malignancy that originates in bone. It may involve a single skeletal location. Notably, these lesions can progress to involve multiple segments in 50% of cases, at which point they are classified as having multiple myeloma (MM). Case Description: One year ago, this patient had undergone a D6 laminectomy and biopsy for plasmacytoma. Now at age 73, she newly presented with the onset of a progressive paraparesis of 4 weeks’ duration. On examination, she had 3/5 strength in both lower extremities accompanied by diffuse hyperreflexia, and bilateral Babinski signs. She underwent a D5-D7 decompression, D6 corpectomy with anterior mesh cage reconstruction, and a D3-D9 posterior fusion. Conclusion: Patients originally treated for plasmacytoma present 50% of the time with the new onset of neurological symptoms and signs due to the subsequent evolution of MM. As these lesions may be refractory to radiation and/or chemotherapy, surgery is often warranted.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/227deb13-5a5f-4397-9148-073d71c94f70/featured/hero-1781562208044.png","publishDate":"2021-07-19T00:00:00.000Z","doi":"10.25259/SNI_442_2021","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/227deb13-5a5f-4397-9148-073d71c94f70/pdf"}