Spinal cord compression due to intraspinal extramedullary hematopoiesis in thalassemia intermedia

extramedullary intraspinal hematopoiesis has been reported in different hemoglobinopathies.4,6 Controversy over the optimal treatment of SCC in thalassemia still exists. Our 27-year-old male patient with thalassemia intermedia and thoracic SCC due to EMH was treated by irradiation therapy with good clinical recovery and minimal resolution of intraspinal mass. We present a case of neurological deficit caused by intraspinal hematopoietic tissue (IHT) in thalassemia, and unusual persistence of intraspinal mass after radiation despite clinical improvement. Case Report. A 27-year-old male patient presented to the neurosurgery clinic complaining of lower limb “heaviness ” for the last 3 months. He was known to have intermediate B-thalassemia since childhood. He underwent splenectomy at 7 years of age and cholecystectomy 6 year