Endometriosis of conus medullaris: a case report

AbstractEndometriosis involving the neural axis is extremely rare. A twenty-five-year-old woman presented with acute onset paraparesis with bladder involvement of five-day duration. We missed her history of cyclical back-ache related to menses at the emergency room. Magnetic resonance imaging (MRI) of spinal cord showed an intramedullary tumour with bleeding at conus–epiconus level. She was operated in the emergency department with laminectomy–durotomy and tumour decompression. Histopathology of the tumour was suggested endometriosis.