An 18-year-old male was referred to an ambulatory service for the evaluation of scoliosis after an orthopaedic evaluation at another centre. He had noticed left-sided low back pain in the previous six months, which had worsened over the last two months with the development of a limp and left lower extremity (LLE) paraesthesia. After an accurate clinical evaluation, the acute onset of the curvature with mild back pain and associated neurological findings suggested an intraspinal lesion. Hence, an MRI was done.
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