A 41-year-old woman presented with ongoing back pain, progressive lower-limb weakness and sphincter disorder. Magnetic resonance imaging showed a very odd-looking large anterior epidural lesion originating from the L3-L4 space and severely compressing the roots of the cauda equina. Partial surgical decompression was performed in an emergency. At a later time, redo surgery was performed to maximize resection and was unfortunately followed by several complications. After six surgical procedures, including a ventriculoperitoneal shunt insertion and intensive rehabilitation, the patient could walk independently with the aid of one crutch.
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