TY - JOUR ID - 6032 TI - An Unusual Case of Cauda Equina Secondary to Spinal Metastasis of Thyroid Cancer JO - Iranian Journal of Otorhinolaryngology JA - IJORL LA - en SN - 2251-7251 AU - Akhtar, Shabbir AU - Adeel, Mohammad AD - Department of Otorhinolaryngology, Head and Neck Surgery, Aga Khan University Hospital, Karachi, Pakistan. Y1 - 2016 PY - 2016 VL - 28 IS - 1 SP - 67 EP - 71 KW - Differentiated thyroid cancer KW - Follicular thyroid cancer KW - Metastasis KW - spine KW - Vertebrae DO - 10.22038/ijorl.2016.6032 N2 - Introduction: Cauda equina secondary to metastatic follicular thyroid cancer of the lumbosacral area is a rare entity.   Case Report: 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.   Conclusion:  Metastatic workup of spinal metastasis should include evaluation of the thyroid gland. UR - https://ijorl.mums.ac.ir/article_6032.html L1 - https://ijorl.mums.ac.ir/article_6032_b4336778ced1ad0b85dc2b04ce34aedf.pdf ER -